Organization Active NPI

Reitman Physical Therapy

  • Physical Therapist
  • Menlo Park, CA
National Provider Identifier
1104872613
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8373 Issued in CA
Legal business name
REITMAN PHYSICAL THERAPY
Practice address
885 Oak Grove Ave
Ste. 101
Menlo Park, CA 94025-4433
Phone
(650) 328-2250
Fax
(650) 328-2256
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kit Reitman, PT, OCS
Title
Sole Proprietor
Phone
(650) 328-2250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT8373 CA Primary

Addresses

Primary practice location

885 Oak Grove Ave
Ste. 101
Menlo Park, CA 94025-4433

Mailing address

885 Oak Grove Ave
Ste. 101
Menlo Park, CA 94025-4433
Phone (650) 328-2250

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ55368ZOtherCABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

865 El Camino Real
Menlo Park, CA 94025
Phone (650) 328-2250

885 Oak Grove Ave
Ste 101
Menlo Park, CA 94025
Phone (650) 328-2250

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": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104872613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 OAK GROVE AVE",
            "address_2": "STE. 101",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254433",
            "telephone_number": "650-328-2250",
            "fax_number": "650-328-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 OAK GROVE AVE",
            "address_2": "STE. 101",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254433",
            "telephone_number": "650-328-2250",
            "fax_number": "650-328-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REITMAN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REITMAN",
        "authorized_official_first_name": "KIT",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "650-328-2250",
        "authorized_official_credential": "PT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT8373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ55368Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.