Active NPI
Cupertino Physical Therapy, Inc
- Physical Therapist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24482
- Legal business name
- CUPERTINO PHYSICAL THERAPY, INC
- Practice address
- 1054 S de Anza Blvd Ste 120
San Jose, CA 95129-3553 - Phone
- (408) 873-8188
- Fax
- (408) 873-8138
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacy Alvares, PT
- Title
- Physicial Therapist
- Phone
- (213) 379-1700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24482 | CA | Primary |
Addresses
Primary practice location
1054 S de Anza Blvd Ste 120
San Jose, CA 95129-3553
Mailing address
1054 S de Anza Blvd Ste 120
San Jose, CA 95129-3553
Phone (408) 873-8188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ65626Z | Other | CA | BLUE SHIELD |
| DE3340 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1054 S De Anza Blvd
Ste 110
San Jose, CA 95129
Phone (408) 873-8188
1054 S De Anza Blvd
Ste 120
San Jose, CA 95129
Phone (408) 257-2225
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- San Jose, CA
- NPI 1932853124
-
- Physical Therapist
- San Jose, CA
- NPI 1215247069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767830400000",
"number": "1184645863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1054 S DE ANZA BLVD STE 120",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951293553",
"telephone_number": "408-873-8188",
"fax_number": "408-873-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 S DE ANZA BLVD STE 120",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951293553",
"telephone_number": "408-873-8188",
"fax_number": "408-873-8138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUPERTINO PHYSICAL THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A",
"authorized_official_last_name": "ALVARES",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "PHYSICIAL THERAPIST",
"authorized_official_telephone_number": "213-379-1700",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT24482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ65626Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE3340",
"state": null
}
],
"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 Jan 8, 2026; 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.