NPIMap

Organization Active NPI

Discharge Resource Group

  • Pediatric Physical Therapist
  • San Jose, CA
National Provider Identifier
1114222999
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
5484 Issued in CA
Legal business name
DISCHARGE RESOURCE GROUP
Practice address
1150 S Bascom Ave
Suite 8
San Jose, CA 95128-3509
Phone
(408) 885-9000
Fax
(408) 885-9009
NPI assigned
Jan 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Carol Block, P.T.NPI 1174828958
Title
Director
Phone
(408) 885-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 5484 CA Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 10119 CA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 17648 CA

Addresses

Primary practice location

1150 S Bascom Ave
Suite 8
San Jose, CA 95128-3509

Mailing address

1150 S Bascom Ave
Suite 8
San Jose, CA 95128-3509
Phone (408) 885-9000

Other names 1

  • Pediatric Resources Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Discharge Resource Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1150 S Bascom Ave
Ste 8
San Jose, CA 95128
Phone (408) 885-9000

Practitioners & affiliated clinicians

Practitioners 8

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": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1114222999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S BASCOM AVE",
            "address_2": "SUITE 8",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283509",
            "telephone_number": "408-885-9000",
            "fax_number": "408-885-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S BASCOM AVE",
            "address_2": "SUITE 8",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283509",
            "telephone_number": "408-885-9000",
            "fax_number": "408-885-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCHARGE RESOURCE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-885-9000",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "5484",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "10119",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "17648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 25, 2012; 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.