In Stride Physical Therapy & Rehab, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26302 Issued in CA

Legal business name

IN STRIDE PHYSICAL THERAPY & REHAB, INC.

Practice address

581 Lighthouse Ave
Pacific Grove, CA 93950-2646

Phone

(831) 657-0177

Fax

(831) 508-8998

NPI assigned

Feb 28, 2014

Organization subpart

No

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

Authorized official

Name

Talli Van Sunder, DPTNPI 1881019701

Title

President

Phone

(831) 657-0177

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Talli Van Sunder, DPT

  • Physical Therapist
  • Pacific Grove, CA
  • NPI 1881019701
  Medicare reassignment NPD Authorized official
• Sandy Baril, B.SC.PT

  • Physical Therapy Clinic/Center
  • Pacific Grove, CA
  • NPI 1902339989
  NPD (past)
• Troy Corcoran, LPTA

  • Physical Therapy Assistant
  • Pacific Grove, CA
  • NPI 1811428352
  NPD (past)

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1134544059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939500136",
            "telephone_number": "831-657-0177",
            "fax_number": "831-508-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 LIGHTHOUSE AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502646",
            "telephone_number": "831-657-0177",
            "fax_number": "831-508-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN STRIDE PHYSICAL THERAPY & REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "VAN SUNDER",
        "authorized_official_first_name": "TALLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-657-0177",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26302",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Huenergardt
• Evonne L Huntley
• Joseph C. Hutchinson Jr., BCTMB, CMT
• Belinda Kay Icenhower, N.D.
• Kazumi Ikeda
• J. Gary Grant, MD, Inc.
• Jamie Klinefelter, DMD, Inc.
• Janessa Radford, Licensed Clinical Social Worker, Inc.
• Edward Earl Jarvis, D.C.
• Ann Todd Jealous, L.M.F.T.

• Physical Therapist in Pacific Grove, CA
• Providers in Pacific Grove, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.

Verify at the official NPI Registry.