Alpine Physical Therapy and Fitness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ALPINE PHYSICAL THERAPY AND FITNESS

Practice address

3130 Alpine Rd Ste 370
Portola Valley, CA 94028-7547

Phone

(650) 242-0777

NPI assigned

Sep 21, 2023

Organization subpart

No

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

Authorized official

Name

Brandan PesaNPI 1730631094

Title

Owner, Physical Therapist

Phone

(845) 594-4195

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandan Pesa, DPT

  • Physical Therapist
  • San Carlos, CA
  • NPI 1730631094
  NPD Authorized official

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1215716097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 ALPINE RD STE 370",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287547",
            "telephone_number": "650-242-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 ALPINE RD STE 370",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287547",
            "telephone_number": "650-242-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE PHYSICAL THERAPY AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "PESA",
        "authorized_official_first_name": "BRANDAN",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-594-4195"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malathi Acharya, M.D.
• Janet Andrews, DDS
• Amy Lynn Babcock, PT
• Sueann Barsh, OTD, OTR/L
• Kristine Allyn Besio
• Craig Brandman, M.D.

• Physical Therapist in Portola Valley, CA
• Providers in Portola Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.