Organization Active NPI

Preferred Rehab Phy Ther Inc

  • Physical Therapist
  • Fremont, CA
National Provider Identifier
1053466623
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7968 Issued in CA
Legal business name
PREFERRED REHAB PHY THER INC
Practice address
1895 Mowry Ave
Ste 118-a
Fremont, CA 94538-1737
Phone
(510) 790-0383
Fax
(510) 790-1197
NPI assigned
Jan 24, 2007
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Ms. Charu S DaveNPI 1467631820
Title
R.P.T
Phone
(510) 790-0178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT7968 CA Primary

Addresses

Primary practice location

1895 Mowry Ave
Ste 118-a
Fremont, CA 94538-1737

Mailing address

1895 Mowry Ave
Ste 118-a
Fremont, CA 94538-1737
Phone (510) 790-0383

National Provider Directory

National Provider Directory

Locations

1895 Mowry Ave
Ste 118
Fremont, CA 94538

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1053466623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 MOWRY AVE",
            "address_2": "STE 118-A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381737",
            "telephone_number": "510-790-0383",
            "fax_number": "510-790-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 MOWRY AVE",
            "address_2": "STE 118-A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381737",
            "telephone_number": "510-790-0383",
            "fax_number": "510-790-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED REHAB PHY THER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "CHARU",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "R.P.T",
        "authorized_official_telephone_number": "510-790-0178",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT7968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.