Active NPI
Amy Schliftman
- Physical Therapist
- Point Reyes Station, CA
National Provider Identifier
1144250119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT13083
- Practice address
- 11431 Ca Hwy 1, Suite 9
Point Reyes Station, CA 94956 - Phone
- (415) 663-9216
- NPI assigned
- Jul 4, 2006
- Last updated
- Nov 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT13083 | CA | Primary |
| Occupational Therapist | 225X00000X | OT6870 | CA |
Addresses
Primary practice location
11431 Ca Hwy 1, Suite 9
Point Reyes Station, CA 94956
Mailing address
PO Box 1228
Point Reyes Station, CA 94956-1228
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CT384000 | Medicaid | CA | |
| PT0130830 | Medicaid | CA | |
| OPT130831 | Other | CA | MEDICARE PPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT13083 | CA | MD | Physical Therapist |
| OT6870 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Marin Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Point Reyes Station, CA
- NPI 1447996137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510704000000",
"number": "1144250119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1228",
"city": "POINT REYES STATION",
"state": "CA",
"postal_code": "949561228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11431 CA HWY 1, SUITE 9",
"city": "POINT REYES STATION",
"state": "CA",
"postal_code": "94956",
"telephone_number": "415-663-9216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLIFTMAN",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2017-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT13083",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT6870",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CT384000",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT0130830",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PPIN",
"identifier": "OPT130831",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Point Reyes Station, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.