Active NPI
Stanley Conte
- Sports Physical Therapist
- San Carlos, CA
National Provider Identifier
1194259887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 9129
- Practice address
- 164 Mesa Verde Way
San Carlos, CA 94070-4283 - Phone
- (415) 407-2421
- NPI assigned
- Apr 19, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 9129 | CA | Primary |
Addresses
Primary practice location
164 Mesa Verde Way
San Carlos, CA 94070-4283
Mailing address
164 Mesa Verde Way
San Carlos, CA 94070-4283
Phone (415) 407-2421
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9129 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1194259887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 MESA VERDE WAY",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940704283",
"telephone_number": "415-407-2421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 MESA VERDE WAY",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940704283",
"telephone_number": "415-407-2421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTE",
"first_name": "STANLEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-19",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "9129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.