NPIMap

Organization Active NPI

Pinnacle Kidz Physical Therapy

  • Pediatric Physical Therapist
  • San Francisco, CA
National Provider Identifier
1285469759
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
PINNACLE KIDZ PHYSICAL THERAPY
Practice address
1640 Valencia St Ste 1C
San Francisco, CA 94110-5040
Phone
(415) 654-5324
Fax
(415) 654-5327
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Authorized official

Name
Bethany Estelle GradertNPI 1275659484
Title
President
Phone
(415) 654-5324

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

1640 Valencia St Ste 1C
San Francisco, CA 94110-5040

Mailing address

1640 Valencia St Ste 1C
San Francisco, CA 94110-5040
Phone (415) 654-5324

Other names 1

  • Pinnacle Kidz Pediatric Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Kidz Pediatric Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1640 Valencia St
Ste 1C
San Francisco, CA 94110
Phone (415) 654-5324

Practitioners & affiliated clinicians

Practitioners 3

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": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738368000000",
    "number": "1285469759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 VALENCIA ST STE 1C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105040",
            "telephone_number": "415-654-5324",
            "fax_number": "415-654-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 VALENCIA ST STE 1C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941105040",
            "telephone_number": "415-654-5324",
            "fax_number": "415-654-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE KIDZ PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A",
        "authorized_official_last_name": "GRADERT",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "ESTELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-654-5324"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Kidz Pediatric Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pinnacle Kidz Pediatric Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.