California Sports Physical Therapy Centers, Inc.
Organization Active NPI Physical Therapist · Pittsburg, CA
NPI 1124000682 · NPPES record last updated Jan 25, 2016
Key facts
- NPI
- 1124000682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 26479 (CA)
- Legal business name
- CALIFORNIA SPORTS PHYSICAL THERAPY CENTERS, INC.
- Practice address
- 2230 Gladstone Dr
Pittsburg, CA 94565-5121 - Phone
- (925) 427-5155
- Fax
- (925) 427-9552
- NPI assigned
- Nov 18, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Jonathan Dockery
- Title
- Vice President of Revenue Cycle
- Phone
- (760) 602-4105
Other NPIs on the same Medicare enrollment 10
Corporate family (same tax ID) 9
Practitioners 2
-
Angela West, DPT
-
Joyce Warren, PHYSICAL THERAPIST
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050707001097 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7618956889 |
Receives reassigned benefits from 63 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Monterey, CA; Walnut Creek, CA; Tracy, CA; Stockton, CA; San Ramon, CA; Rocklin, CA; Manteca, CA; Lodi, CA… |
National Provider Directory
- Tax ID family
- California Rehabilitation and Sports Therapy
Locations
2000 Garden Rd
Monterey, CA 93940
Phone (831) 375-1885
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | PT 26479 | CA | Yes |
Addresses
Primary practice location
2230 Gladstone Dr
Pittsburg, CA 94565-5121
Mailing address
2000 Garden Rd
Monterey, CA 93940-5313
Phone (831) 375-1885
Other names
- Cornerstone Physical Therapy
Other providers in Pittsburg, CA
- Roberto Cajina
- Ma. Rohila Castanos Calampinay
- California Eye Clinic
- California Eye Clinic
- California Eye Clinic
- California Support Services LLC
- Kevin Cambra
- Rina Campbell
- Joel H. Canga
- Eric Joseph Capenhurst
All providers in Pittsburg, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.