Organization Active NPI

Joan Dillon

  • Orthopedic Physical Therapist
  • Menlo Park, CA
National Provider Identifier
1255414033
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT14982 Issued in CA
Legal business name
JOAN DILLON
Practice address
765 Coleman Ave
Menlo Park, CA 94025-2403
Phone
(650) 326-1807
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Ms. Joan Frances Dillon, P.T.
Title
Owner/Physical Therapist
Phone
(650) 326-1807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X PT14982 CA Primary

Addresses

Primary practice location

765 Coleman Ave
Menlo Park, CA 94025-2403

Mailing address

765 Coleman Ave
Menlo Park, CA 94025-2403
Phone (650) 326-1807

Other names 1

  • Star Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2672 Bayshore Pkwy
Ste 1040
Mountain View, CA 94043
Phone (650) 965-1185

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1255414033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 COLEMAN AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252403",
            "telephone_number": "650-326-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 COLEMAN AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252403",
            "telephone_number": "650-326-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN DILLON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "650-326-1807",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT14982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.