Active NPI
Ability Outpatient Physical Therapy, Inc.
- Physical Therapist
- San Jose, CA
National Provider Identifier
1093285355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- San Jose, CA
- NPI 1063244465
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.