Bay Area Physical Therapy of Benicia Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BAY AREA PHYSICAL THERAPY OF BENICIA INC

Doing business as

Benicia Bay Physical Therapy

Practice address

560 1St St
Suite D-101
Benicia, CA 94510-3295

Phone

(707) 747-9977

NPI assigned

Jan 26, 2006

Last updated

Sep 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jay Mehta

Title

President

Phone

(707) 747-9977

Specialties & licenses 2

Addresses

Other names 1

• Benicia Bay Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Shivani Mehta, M.P.T.

  • Physical Therapist
  • Benicia, CA
  • NPI 1053382309
  Medicare reassignment NPD
• Dawnielle Owens Vargas, DPT

  • Physical Therapist
  • Vallejo, CA
  • NPI 1003094269
  NPD (past)
• Heather Taylor, M.P.T.

  • Physical Therapist
  • Benicia, CA
  • NPI 1205807708
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347667200000",
    "number": "1083685333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 1ST ST",
            "address_2": "SUITE D-101",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103295",
            "telephone_number": "707-747-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 1ST ST",
            "address_2": "SUITE D-101",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103295",
            "telephone_number": "707-747-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA PHYSICAL THERAPY OF BENICIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-09-15",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-747-9977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benicia Bay Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harinder Singh Auluck, MD
• Raman Badal
• Marisol Barber
• Joseph Jerome Bartholomew, RRW5162
• Joseph David Barton Jr., M.D.
• Bay Area Specialty Surgery Center
• Bay Surgical Associates
• Bay Surgical Associates
• Beach House Pediatrics, PC
• Daniela Paula Belo

• Physical Therapy Clinic/Center in Benicia, CA
• Providers in Benicia, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2012; 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.