Ergo-Rehab, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT0092500 Issued in CA

Legal business name

ERGO-REHAB, INC.

Practice address

39201 State St
Fremont, CA 94538-1437

Phone

(510) 791-5521

Fax

(510) 791-6380

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Nick Kavayiotidis

Title

President

Phone

(510) 791-5521

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1073629804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39201 STATE ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381437",
            "telephone_number": "510-791-5521",
            "fax_number": "510-791-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39201 STATE ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381437",
            "telephone_number": "510-791-5521",
            "fax_number": "510-791-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERGO-REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "KAVAYIOTIDIS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-791-5521",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT0092500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EFT PROVIDER NUMBER",
            "identifier": "ZZZ06364Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon Epstein, MD
• Bina K Erasmus, M.D.
• Desmond Erasmus, MD
• Rene Erazo Jr., LMFT
• Ergo Rehabilitation Inc
• Samantha Ericson
• Pamela Erlandson
• Emma Erlick
• Daniella Escobar
• Frances Armandina Escobar

• Specialist in Fremont, CA
• Providers in Fremont, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.