Individual provider Active NPI

Jill Rytand

  • Physical Therapist
  • Los Altos, CA
National Provider Identifier
1053343541
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21410 Issued in CA
Practice address
1000 Fremont Ave
Ste. 108
Los Altos, CA 94024-6093
Phone
(650) 947-8500
Fax
(650) 947-8501
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT21410 CA Primary

Addresses

Primary practice location

1000 Fremont Ave
Ste. 108
Los Altos, CA 94024-6093

Mailing address

1000 Fremont Ave
Ste. 108
Los Altos, CA 94024-6093
Phone (650) 947-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21410CAMDCounselor
PT21410CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Gladfelter Past Accepting new patients
Physiofit Physical Therapy & Wellness, P.C. Physical Therapist PastSince Nov 29, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053343541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE",
            "address_2": "STE. 108",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246093",
            "telephone_number": "650-947-8500",
            "fax_number": "650-947-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE",
            "address_2": "STE. 108",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246093",
            "telephone_number": "650-947-8500",
            "fax_number": "650-947-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYTAND",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.