NPIMap

Organization Active NPI

Richard P. Carr Physical Therapy Inc

Doing business as Williamson/Hahn Physical Therapy and Rehabilitation

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1245213305
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RICHARD P. CARR PHYSICAL THERAPY INC
Doing business as
Williamson/Hahn Physical Therapy and Rehabilitation
Practice address
1505 Meridian Ave
Ste a
San Jose, CA 95125-5353
Phone
(408) 264-6643
Fax
(408) 264-6652
NPI assigned
Nov 22, 2005
Last updated
Feb 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Mr. Jonathan Dockery
Title
Vice President of Revenue Cycle
Phone
(760) 602-4105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1505 Meridian Ave
Ste a
San Jose, CA 95125-5353

Mailing address

1505 Meridian Ave
Ste a
San Jose, CA 95125-5353
Phone (408) 264-6643

Other identifiers 4

IdentifierTypeStateIssuer
7409638OtherCAAETNA
196223400OtherCADOL
3134934OtherCACIGNA
ZZZ60370ZOtherCABLUESHIELD

Other names 1

  • Williamson/Hahn Physical Therapy and Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Performance Physical Therapy10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1245213305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 MERIDIAN AVE",
            "address_2": "STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255353",
            "telephone_number": "408-264-6643",
            "fax_number": "408-264-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 MERIDIAN AVE",
            "address_2": "STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255353",
            "telephone_number": "408-264-6643",
            "fax_number": "408-264-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P. CARR PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "DOCKERY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF REVENUE CYCLE",
        "authorized_official_telephone_number": "760-602-4105",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7409638",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "196223400",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3134934",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "ZZZ60370Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamson/Hahn Physical Therapy and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.