NPIMap

Organization Active NPI

Deryke and Associates, Inc

Doing business as Myofascial Therapy

  • Physical Therapist
  • Campbell, CA
National Provider Identifier
1275690984
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DERYKE AND ASSOCIATES, INC
Doing business as
Myofascial Therapy
Practice address
201 E Hamilton Ave
Campbell, CA 95008
Phone
(408) 376-0900
Fax
(408) 376-0886
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Sarah Delorenzo
Title
Billing Manger
Phone
(408) 376-0900

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

201 E Hamilton Ave
Campbell, CA 95008

Mailing address

201 E Hamilton Ave
Campbell, CA 95008-0206
Phone (408) 376-0900

Other names 1

  • Myofascial Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

201 E Hamilton Ave
Campbell, CA 95008
Phone (408) 376-0900

16275 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 402-0210

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1275690984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E HAMILTON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080206",
            "telephone_number": "408-376-0900",
            "fax_number": "408-376-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E HAMILTON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-376-0900",
            "fax_number": "408-376-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERYKE AND ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "DELORENZO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "BILLING MANGER",
        "authorized_official_telephone_number": "408-376-0900"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myofascial Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Myofascial Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.