NPIMap

Organization Active NPI

Inner Bar, Inc.

Doing business as Potrero Physical Therapy

  • Specialist
  • San Francisco, CA
National Provider Identifier
1154470664
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INNER BAR, INC.
Doing business as
Potrero Physical Therapy
Practice address
550 15TH St
Suite 36a
San Francisco, CA 94103-5029
Phone
(415) 701-1000
NPI assigned
Jan 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lance HarrimanNPI 1609925155
Title
President
Phone
(415) 701-1000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

550 15TH St
Suite 36a
San Francisco, CA 94103-5029

Mailing address

P.O. Box 410473
San Francisco, CA 94141
Phone (415) 701-1000

Other names 1

  • Potrero Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050805000292 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2163451634 Receives reassigned benefits from 16 practitioners
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

3401 Taraval St
San Francisco, CA 94116
Phone (415) 682-9902

550 15th St
Ste 36A
San Francisco, CA 94103
Phone (415) 682-9902

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154470664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 410473",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94141",
            "telephone_number": "415-701-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 15TH ST",
            "address_2": "SUITE 36A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035029",
            "telephone_number": "415-701-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIMAN",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-701-1000"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potrero Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.