NPIMap

Organization Active NPI

Therapydia California Physical Therapy, PC.

  • Physical Therapist
  • Saratoga, CA
National Provider Identifier
1083190995
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERAPYDIA CALIFORNIA PHYSICAL THERAPY, PC.
Practice address
1821 Saratoga Ave Ste 100
Saratoga, CA 95070-6606
Phone
(408) 882-3451
NPI assigned
Jul 13, 2018
Last updated
Sep 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Leah Nottingham
Title
VP Clinic Services
Phone
(415) 533-4863

Specialties & licenses 1

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

Addresses

Primary practice location

1821 Saratoga Ave Ste 100
Saratoga, CA 95070-6606

Mailing address

18 E Blithedale Ave Ste 21
Mill Valley, CA 94941-1946
Phone (415) 389-8677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180817000679 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9638428097 Receives reassigned benefits from 16 practitioners
Practice locations: San Francisco, CA; Saratoga, CA; Sunnyvale, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Therapydia California Physical Therapy P C3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1210 Donnelly Ave
Burlingame, CA 94010
Phone (650) 918-4145

580 Market St
Ste 100
San Francisco, CA 94104
Phone (415) 765-1502

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1083190995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E BLITHEDALE AVE STE 21",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411946",
            "telephone_number": "415-389-8677",
            "fax_number": "415-389-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 SARATOGA AVE STE 100",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706606",
            "telephone_number": "408-882-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPYDIA CALIFORNIA PHYSICAL THERAPY, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "NOTTINGHAM",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "VP CLINIC SERVICES",
        "authorized_official_telephone_number": "415-533-4863"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.