Organization Active NPI

Holistic Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Templeton, CA
National Provider Identifier
1063284388
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HOLISTIC PHYSICAL THERAPY, INC.
Practice address
65 S Main St Ste 101
Templeton, CA 93465-8703
Phone
(714) 466-0624
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Janev A Alvarez, DPTNPI 1780082081
Title
Physical Therapist
Phone
(714) 466-0624

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

65 S Main St Ste 101
Templeton, CA 93465-8703

Mailing address

101 N Main St Unit 1537
Templeton, CA 93465-9998
Phone (714) 466-0624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231212001156 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012366362 Receives reassigned benefits from 1 practitioner
Practice locations: Paso Robles, CA; Templeton, CA

National Provider Directory

National Provider Directory

Locations

730 Park St
Ste A
Paso Robles, CA 93446
Phone (714) 466-0624

65 S Main St
Ste 101
Templeton, CA 93465
Phone (714) 466-0624

101 N Main St
Unit 1537
Templeton, CA 93465

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": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1063284388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST UNIT 1537",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659998",
            "telephone_number": "714-466-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 S MAIN ST STE 101",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934658703",
            "telephone_number": "714-466-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "JANEV",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "714-466-0624",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.