Active NPI
Nicholas Deliberato
- Physical Therapist
- Los Gatos, CA
National Provider Identifier
1194448571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 301171
- Practice address
- 16185 Los Gatos Blvd Ste 205
Los Gatos, CA 95032-4569 - Phone
- (866) 839-6979
- NPI assigned
- Sep 21, 2022
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 301171 | Primary |
Addresses
Primary practice location
16185 Los Gatos Blvd Ste 205
Los Gatos, CA 95032-4569
Mailing address
1212 Pine St
Santa Monica, CA 90405-3928
Phone (330) 734-9474
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1194448571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 PINE ST",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904053928",
"telephone_number": "330-734-9474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16185 LOS GATOS BLVD STE 205",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950324569",
"telephone_number": "866-839-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELIBERATO",
"first_name": "NICHOLAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "301171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.