King City Physical Therapy Apc
Organization Active NPI Physical Therapy Clinic/Center · King City, CA
NPI 1043379282 · NPPES record last updated Jun 3, 2008
Key facts
- NPI
- 1043379282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- PT06391 (CA)
- Legal business name
- KING CITY PHYSICAL THERAPY APC
- Practice address
- 200 Broadway St
Ste 28
King City, CA 93930-2865 - Phone
- (831) 386-9710
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Debbie L Estrada
- Title
- Billing Manager
- Phone
- (805) 227-4156
Practitioners 1
-
Richard H Diel, RPT
National Provider Directory
Locations
200 Broadway St
Ste 28
King City, CA 93930
Phone (831) 386-9710
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT06391 | CA | Yes |
Addresses
Primary practice location
200 Broadway St
Ste 28
King City, CA 93930-2865
Mailing address
200 Broadway St
Ste 28
King City, CA 93930-2865
Phone (831) 386-9710
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ06333Z | Other | CA | BLUE SHIELD OF CALIF |
| PT6391 | Other | CA | BLUE CROSS OF CALIF |
| GPT001411 | Medicaid | CA |
Other names
- SUMMIT PHYSICAL THERAPY
Other providers in King City, CA
- Jolon Emergency Physicians, a Medical Corporation
- Carl Jorgensen
- King City Counseling Center
- King City Esd
- King City Joint Union High School District
- Joe Kent Kirby Jr.
- Amie Nichole Kling
- Kevin Leahy
- Jonathan Livne
- Nathan Raul Lizarraga
All providers in King City, CA · Physical Therapy Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.