Active NPI
Rachel Amato, PT
- Physical Therapist
- San Bruno, CA
National Provider Identifier
1114460177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 41380
- Practice address
- 2600 Fleetwood Dr
San Bruno, CA 94066-1928 - Phone
- (650) 296-4221
- NPI assigned
- Nov 23, 2016
- Last updated
- Nov 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 41380 | CA | Primary |
Addresses
Primary practice location
2600 Fleetwood Dr
San Bruno, CA 94066-1928
Mailing address
2600 Fleetwood Dr
San Bruno, CA 94066-1928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41380 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sand Coast Rehab Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
551 Gibson Ave
Pacific Grove, CA 93950
Phone (831) 242-8394
3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403
400 Route 70
Lakewood, NJ 08701
Phone (866) 959-2846
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479859200000",
"number": "1114460177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 FLEETWOOD DR",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940661928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 FLEETWOOD DR",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940661928",
"telephone_number": "650-296-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMATO",
"first_name": "RACHEL",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-23",
"last_updated": "2016-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "41380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.