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Organization Active NPI

Silver Creek Fitness and Physical Therapy

Doing business as Silver Creek Physical Therapy

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1063510337
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SILVER CREEK FITNESS AND PHYSICAL THERAPY
Doing business as
Silver Creek Physical Therapy
Practice address
4205 San Felipe Rd
Suite 100
San Jose, CA 95135-1503
Phone
(408) 841-7203
NPI assigned
Sep 20, 2006
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Mr. Bobby Ismail, DPT
Title
President
Phone
(209) 353-1988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X CA Primary

Addresses

Primary practice location

4205 San Felipe Rd
Suite 100
San Jose, CA 95135-1503

Mailing address

PO Box 858
Franklin, TN 37065-0858
Phone (408) 238-1552

Other practice location 1

5600 Mowry School Rd Ste 305
Newark, CA 94560-5371
Phone (650) 298-6386

Other practice location 2

1395 1st St Ste 100
Gilroy, CA 95020-3876
Phone (408) 846-6000

Other practice location 3

14107 Winchester Blvd Ste O
Los Gatos, CA 95032-1836
Phone (408) 868-5577

Other practice location 4

645 E Calaveras Blvd
Milpitas, CA 95035-7705
Phone (408) 325-6251

Other practice location 5

121 Bernal Rd Ste 30
San Jose, CA 95119-1396
Phone (408) 227-2141

Other practice location 6

500 E Remington Dr
Sunnyvale, CA 94087-2657
Phone (408) 389-3600

Other names 1

  • Silver Creek Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630001037 CA Part B Supplier - Clinic/Group Practice 7012994791 Receives reassigned benefits from 52 practitioners
Practice locations: Milpitas, CA; Sunnyvale, CA; San Jose, CA; Newark, CA; Los Gatos, CA; Gilroy, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

14103 Winchester Blvd
Ste F
Los Gatos, CA 95032
Phone (408) 238-1552

14107 Winchester Blvd
Ste O
Los Gatos, CA 95032
Phone (408) 724-8264

645 E Calaveras Blvd
Milpitas, CA 95035
Phone (408) 262-2020

5600 Mowry School Rd
Ste 305
Newark, CA 94560
Phone (510) 651-9258

121 Bernal Rd
San Jose, CA 95119
Phone (408) 227-2141

121 Bernal Rd
Ste 30
San Jose, CA 95119
Phone (408) 224-2141

4055 Evergreen Village Sq
Ste 260
San Jose, CA 95135
Phone (408) 238-1552

500 E Remington Dr
Sunnyvale, CA 94087
Phone (415) 969-8600

Practitioners & affiliated clinicians

Practitioners 74

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.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1063510337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370650858",
            "telephone_number": "408-238-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 SAN FELIPE RD",
            "address_2": "SUITE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351503",
            "telephone_number": "408-841-7203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 Mowry School Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "CA",
            "postal_code": "945605371",
            "country_code": "US",
            "telephone_number": "650-298-6386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1395 1st St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gilroy",
            "state": "CA",
            "postal_code": "950203876",
            "country_code": "US",
            "telephone_number": "408-846-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14107 Winchester Blvd Ste O",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950321836",
            "country_code": "US",
            "telephone_number": "408-868-5577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 E Calaveras Blvd",
            "address_purpose": "LOCATION",
            "city": "Milpitas",
            "state": "CA",
            "postal_code": "950357705",
            "country_code": "US",
            "telephone_number": "408-325-6251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Bernal Rd Ste 30",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951191396",
            "country_code": "US",
            "telephone_number": "408-227-2141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Remington Dr",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940872657",
            "country_code": "US",
            "telephone_number": "408-389-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SILVER CREEK FITNESS AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-353-1988",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Creek Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silver Creek Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.