Active NPI
Carol Block, P.T.
- Pediatric Physical Therapist
- San Jose, CA
National Provider Identifier
1174828958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 5484
- Practice address
- 1150 S Bascom Ave
Suite 8
San Jose, CA 95128-3509 - Phone
- (408) 885-9000
- Fax
- (408) 885-9009
- NPI assigned
- Jan 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 5484 | CA | Primary |
Addresses
Primary practice location
1150 S Bascom Ave
Suite 8
San Jose, CA 95128-3509
Mailing address
1150 S Bascom Ave
Suite 8
San Jose, CA 95128-3509
Phone (408) 885-9000
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Discharge Resource Group | Pediatrics | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1174828958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 S BASCOM AVE",
"address_2": "SUITE 8",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283509",
"telephone_number": "408-885-9000",
"fax_number": "408-885-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 S BASCOM AVE",
"address_2": "SUITE 8",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951283509",
"telephone_number": "408-885-9000",
"fax_number": "408-885-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "CAROL",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-25",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "5484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.