Organization Active NPI

MMT Physical Therapy Inc

Doing business as Apex Physical Therapy SF

  • Sports Physical Therapist
  • San Francisco, CA
National Provider Identifier
1174080931
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
MMT PHYSICAL THERAPY INC
Doing business as
Apex Physical Therapy SF
Practice address
3040 Larkin St
San Francisco, CA 94109-1116
Phone
(650) 345-2739
Fax
(650) 345-2756
NPI assigned
Feb 27, 2019
Last updated
Aug 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Kim Hightower
Title
Office Manager
Phone
(650) 345-2739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X NU Primary

Addresses

Primary practice location

3040 Larkin St
San Francisco, CA 94109-1116

Mailing address

1810 Gateway Dr Ste 110
San Mateo, CA 94404-2470
Phone (650) 345-2739

Other names 1

  • Apex Physical Therapy SF Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200121002242 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052746013 Receives reassigned benefits from 3 practitioners
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

3040 Larkin St
San Francisco, CA 94109
Phone (415) 814-2669

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1174080931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 GATEWAY DR STE 110",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944042470",
            "telephone_number": "650-345-2739",
            "fax_number": "650-345-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 LARKIN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941091116",
            "telephone_number": "650-345-2739",
            "fax_number": "650-345-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "HIGHTOWER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "650-345-2739"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Physical Therapy SF",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apex Physical Therapy SF",
            "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 4, 2022; 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.