NPIMap

Organization Active NPI

ABA Physical Therapy Associates PC

  • Physical Medicine & Rehabilitation Physician
  • San Mateo, CA
National Provider Identifier
1114983640
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ABA PHYSICAL THERAPY ASSOCIATES PC
Practice address
1670 S Amphlett Blvd # 123
San Mateo, CA 94402-2512
Phone
(650) 558-0247
Fax
(650) 558-1735
NPI assigned
Apr 24, 2006
Last updated
Apr 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Karen L Anderson, PTNPI 1023162534
Title
VP
Phone
(650) 558-0247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary
Physical Therapist 225100000X CA
Physical Therapist 225100000X PT010010 CA
Physical Therapist 225100000X PT9998 CA
Physical Therapist 225100000X PT3088 CA
Physical Therapist 225100000X PT9671 CA
Physical Therapist 225100000X PT9940 CA
Physical Therapist 225100000X PT9657 CA
Physical Therapist 225100000X PT24571 CA

Addresses

Primary practice location

1670 S Amphlett Blvd # 123
San Mateo, CA 94402-2512

Mailing address

1670 S Amphlett Blvd # 123
San Mateo, CA 94402-2512
Phone (650) 558-0247

Other names 1

  • Steven H. Anderson DBA: ABA Physical Therapy Associates Former legal business name

National Provider Directory

National Provider Directory

Locations

1670 S Amphlett Blvd
Ste 123
San Mateo, CA 94402
Phone (650) 558-0247

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1114983640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 S AMPHLETT BLVD # 123",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022512",
            "telephone_number": "650-558-0247",
            "fax_number": "650-558-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 S AMPHLETT BLVD # 123",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022512",
            "telephone_number": "650-558-0247",
            "fax_number": "650-558-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA PHYSICAL THERAPY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "650-558-0247",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT010010",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9998",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT3088",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9671",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9940",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9657",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven H. Anderson DBA: ABA Physical Therapy Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.