Active NPI
Therapista, Inc.
- Physical Therapist
- San Francisco, CA
National Provider Identifier
1124103197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- THERAPISTA, INC.
- Practice address
- 630 Moultrie St
San Francisco, CA 94110-6034 - Phone
- (415) 648-0196
- Fax
- (415) 374-7058
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Angela Dawn Isaac, PT
- Title
- President
- Phone
- (415) 648-0196
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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Pediatric Physical Therapist | 2251P0200X | |||
| Occupational Therapist | 225X00000X | |||
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | |||
| Low Vision Occupational Therapist | 225XL0004X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
630 Moultrie St
San Francisco, CA 94110-6034
Mailing address
630 Moultrie St
San Francisco, CA 94110-6034
Phone (415) 648-0196
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259020800000",
"number": "1124103197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 MOULTRIE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941106034",
"telephone_number": "415-648-0196",
"fax_number": "415-374-7058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 MOULTRIE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941106034",
"telephone_number": "415-648-0196",
"fax_number": "415-374-7058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPISTA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2009-11-24",
"status": "A",
"authorized_official_last_name": "ISAAC",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "415-648-0196",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XF0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Low Vision",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
- Alexander Antonios Theologis, M.D.
- Bounchanh Thepkaysone, HEALTH WORKER 3
- Warakorn Thepsutam
- Therapeutic Integrative Psychotherapy Clinic, Inc.
- Therapia Health Management Inc.
- Therapy in Depth
- Therapy Now SF
- Therapy With Larissa House, a Licensed Clinical Social Worker PC
- Theresa C. Kira, PSYD, a Psychological Corporation
- Julie Nicole Therien, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.