Organization Active NPI

Ability Outpatient Physical Therapy, Inc.

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1093285355
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ABILITY OUTPATIENT PHYSICAL THERAPY, INC.
Practice address
2670 S White Rd Ste 120
San Jose, CA 95148-2072
Phone
(408) 659-6105
NPI assigned
Nov 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Anjanette Lim Javellana
Title
Physical Therapist
Phone
(408) 659-6105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2670 S White Rd Ste 120
San Jose, CA 95148-2072

Mailing address

2670 S White Rd Ste 120
San Jose, CA 95148-2072
Phone (408) 659-6105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190201001096 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3779820568 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

2670 S White Rd
Ste 120
San Jose, CA 95148
Phone (408) 606-2333

Practitioners & affiliated clinicians

Practitioners 2

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": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1093285355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 S WHITE RD STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482072",
            "telephone_number": "408-659-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 S WHITE RD STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482072",
            "telephone_number": "408-659-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILITY OUTPATIENT PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "JAVELLANA",
        "authorized_official_first_name": "ANJANETTE",
        "authorized_official_middle_name": "LIM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "408-659-6105"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 29, 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.