Organization Active NPI

Campus Physical Therapy Center

Doing business as San Mateo Physical Therapy Center

  • Physical Therapy Clinic/Center
  • San Mateo, CA
National Provider Identifier
1255571196
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT15832 Issued in CA
Legal business name
CAMPUS PHYSICAL THERAPY CENTER
Doing business as
San Mateo Physical Therapy Center
Practice address
101 S San Mateo Dr Ste 200
San Mateo, CA 94401-3843
Phone
(650) 994-7800
NPI assigned
Mar 5, 2009
Last updated
Mar 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Luis E Araneda, PTNPI 1063494466
Title
Ceo
Phone
(650) 994-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT15832 CA Primary

Addresses

Primary practice location

101 S San Mateo Dr Ste 200
San Mateo, CA 94401-3843

Mailing address

901 Campus Dr Ste 213
Daly City, CA 94015-4930
Phone (650) 994-7800

Other names 1

  • San Mateo Physical Therapy Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Campus Physical Therapy Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1255571196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DR STE 213",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154930",
            "telephone_number": "650-994-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013843",
            "telephone_number": "650-994-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPUS PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "ARANEDA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-994-7800",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT15832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Mateo Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.