Craig Alan Amack, P.T.
Individual provider Active NPI Physical Therapist · Pleasanton, CA
NPI 1205947454 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1205947454
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT12859 (CA)
- Practice address
- 6668 Owens Dr
Pleasanton, CA 94588-3334 - Phone
- (925) 621-2200
- Fax
- (925) 621-2201
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT12859 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodymax Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT12859 | CA | Yes |
Addresses
Primary practice location
6668 Owens Dr
Pleasanton, CA 94588-3334
Mailing address
6668 Owens Dr
Pleasanton, CA 94588-3334
Phone (925) 621-2200
Other providers in Pleasanton, CA
- Alternative Family Services, Inc.
- Alternative Family Services, Inc.
- Ashley Caitlin Altman
- Jose Hamid Alvarez Khair
- Karina Alvarez
- Dana Leigh Amack
- Amador Surgery Center, LLC
- Amador Valley Dental X-Ray Inc.
- Milason Amaya
- Apurva Ambekar
All providers in Pleasanton, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.