Organization Active NPI

Physera Physical Therapy Group, PC

  • Physical Therapist
  • San Mateo, CA
National Provider Identifier
1043873110
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSERA PHYSICAL THERAPY GROUP, PC
Practice address
400 Concar Dr
San Mateo, CA 94402-2681
Phone
(650) 409-1407
Fax
(800) 991-2996
NPI assigned
Apr 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carole Anne Forest
Title
Controller
Phone
(650) 796-2081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

400 Concar Dr
San Mateo, CA 94402-2681

Mailing address

2443 Fillmore St # 380-8130
San Francisco, CA 94115-1814
Phone (650) 409-1407

Other names 1

  • BETTERMENT PHYSICAL THERAPY GROUP Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1043873110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 FILLMORE ST # 380-8130",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151814",
            "telephone_number": "650-409-1407",
            "fax_number": "800-991-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONCAR DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022681",
            "telephone_number": "650-409-1407",
            "fax_number": "800-991-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSERA PHYSICAL THERAPY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "FOREST",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "650-796-2081"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BETTERMENT PHYSICAL THERAPY GROUP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.