Active NPI
Select Cal Physical Therapy PC
- Physical Therapy Clinic/Center
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SELECT CAL PHYSICAL THERAPY PC
- Practice address
- 3300 Webster St Ste 703
Oakland, CA 94609-3122 - Phone
- (510) 835-5633
- Fax
- (510) 835-2200
- NPI assigned
- Oct 11, 2021
- Last updated
- May 25, 2023
- 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
- Michael E Tarvin
- Title
- Vice President
- Phone
- (717) 972-1100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary | ||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
3300 Webster St Ste 703
Oakland, CA 94609-3122
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220401000572 | CA | Part B Supplier - Clinic/Group Practice | 4789070699 |
Receives reassigned benefits from 202 practitioners This NPI is an additional NPI on the enrollment Practice locations: Salinas, CA; Palo Alto, CA; Sacramento, CA; Roseville, CA; Rohnert Park, CA; Rocklin, CA; Riverside, CA; Redwood City, CA… |
National Provider Directory
National Provider Directory- Tax ID family
- PHS Physical Therapy LLC
Other organizations with this tax ID 10
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Monrovia, CA
- NPI 1548844566
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Carlisle, PA
- NPI 1063168904
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Carlisle, PA
- NPI 1154111649
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Elizabethtown, PA
- NPI 1245824234
-
- Rehabilitation Clinic/Center
- Chambersburg, PA
- NPI 1598331910
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Lebanon, PA
- NPI 1790364347
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Lancaster, PA
- NPI 1841792637
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Annville, PA
- NPI 1871942045
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Mechanicsburg, PA
- NPI 1881340727
-
- Rehabilitation Clinic/Center
- Hockessin, DE
- NPI 1588247399
Locations
3300 Webster St
Ste 703
Oakland, CA 94609
Phone (510) 451-6266
Practitioners & affiliated clinicians
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.
-
- Physical Therapist
- Pleasanton, CA
- NPI 1538194279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684972800000",
"number": "1255093837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 GETTYSBURG RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554325",
"telephone_number": "717-972-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 WEBSTER ST STE 703",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093122",
"telephone_number": "510-835-5633",
"fax_number": "510-835-2200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT CAL PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-11",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A",
"authorized_official_last_name": "TARVIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.