Lands End Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22545 Issued in CA

Legal business name

LANDS END PHYSICAL THERAPY INC.

Practice address

44 Gough St
Suite 308
San Francisco, CA 94103-5422

Phone

(917) 703-3343

NPI assigned

Sep 7, 2016

Last updated

Mar 8, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Micheline Cerra, PTNPI 1699943530

Title

Owner

Phone

(415) 524-7390

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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.

• Micheline Cerra, P.T.

  • Physical Therapist
  • San Francisco, CA
  • NPI 1699943530
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1205383213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 GOUGH ST STE 308",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035424",
            "telephone_number": "415-524-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 GOUGH ST",
            "address_2": "SUITE 308",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035422",
            "telephone_number": "917-703-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDS END PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "CERRA",
        "authorized_official_first_name": "MICHELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-524-7390",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Landry
• David Landry, M.D., B.ENG.
• Jennifer Lynn Landry
• Karen Ann Landry, NP
• Stella Landry
• Jesse Lucas Landy
• Courtney Lane-Donovan
• Anna Lane
• Anya Patricia Lane, DMH
• Barbara Ann Lane, LCSW

• Physical Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.