Organization Active NPI

Children's Therapy Associates of the Bay Area

  • Pediatric Physical Therapist
  • South San Francisco, CA
National Provider Identifier
1134575129
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
CHILDREN'S THERAPY ASSOCIATES OF THE BAY AREA
Practice address
160 S Linden Ave
Suite 211
South San Francisco, CA 94080-6419
Phone
(415) 606-9773
NPI assigned
May 9, 2016
Last updated
May 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Michelle Diamond
Title
PT, Director
Phone
(415) 606-9773

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X NU Primary
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

160 S Linden Ave
Suite 211
South San Francisco, CA 94080-6419

Mailing address

4046 26TH St
San Francisco, CA 94131-1913

National Provider Directory

National Provider Directory

Locations

160 S Linden Ave
Ste 211
South San Francisco, CA 94080
Phone (415) 606-9773

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1134575129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4046 26TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941311913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S LINDEN AVE",
            "address_2": "SUITE 211",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940806419",
            "telephone_number": "415-606-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY ASSOCIATES OF THE BAY AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PT, DIRECTOR",
        "authorized_official_telephone_number": "415-606-9773"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.