Organization Active NPI

Ace Physical Therapy & Sports Medicine

  • Orthopedic Physical Therapist
  • San Francisco, CA
National Provider Identifier
1174662803
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
OPT220300 Issued in CA
Legal business name
ACE PHYSICAL THERAPY & SPORTS MEDICINE
Practice address
645 5TH St
San Francisco, CA 94107-1516
Phone
(415) 777-5009
Fax
(415) 777-5882
NPI assigned
Feb 6, 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
Mr. Donald B Azcarate, P.T., A.T., C.
Title
President
Phone
(415) 777-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X OPT220300 CA Primary

Addresses

Primary practice location

645 5TH St
San Francisco, CA 94107-1516

Mailing address

645 5TH St
San Francisco, CA 94107-1516
Phone (415) 777-5009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040309000771 CA Part B Supplier - Clinic/Group Practice 6204724404 Receives reassigned benefits from 2 practitioners
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

2238 Union St
San Francisco, CA 94123
Phone (415) 359-1444

645 5th St
San Francisco, CA 94107
Phone (415) 777-5009

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174662803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 5TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071516",
            "telephone_number": "415-777-5009",
            "fax_number": "415-777-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 5TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071516",
            "telephone_number": "415-777-5009",
            "fax_number": "415-777-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE PHYSICAL THERAPY & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZCARATE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-777-5009",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T., A.T., C."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "OPT220300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.