Active NPI
Guru Physical Therapy, Inc.
- Physical Therapist
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28149
- Legal business name
- GURU PHYSICAL THERAPY, INC.
- Practice address
- 3857 Montgomery Dr
Santa Rosa, CA 95405-5244 - Phone
- (707) 694-2398
- NPI assigned
- Feb 10, 2016
- Last updated
- Feb 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kumaraguru Kareesan
- Title
- Ceo
- Phone
- (707) 694-2398
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28149 | CA | Primary |
Addresses
Primary practice location
3857 Montgomery Dr
Santa Rosa, CA 95405-5244
Mailing address
3857 Montgomery Dr
Santa Rosa, CA 95405-5244
Phone (707) 694-2398
National Provider Directory
National Provider DirectoryLocations
3857 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 523-0250
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Physical Therapist
- Santa Rosa, CA
- NPI 1831561349
-
- Internal Medicine Physician
- Santa Rosa, CA
- NPI 1699862920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455062400000",
"number": "1225497860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3857 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954055244",
"telephone_number": "707-694-2398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3857 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954055244",
"telephone_number": "707-694-2398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GURU PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-10",
"last_updated": "2016-02-10",
"status": "A",
"authorized_official_last_name": "KAREESAN",
"authorized_official_first_name": "KUMARAGURU",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "707-694-2398",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "28149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.