Active NPI
Joan Dillon
- Orthopedic Physical Therapist
- Menlo Park, CA
National Provider Identifier
1255414033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT14982
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Los Altos, CA
- NPI 1073585675
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.