Organization Active NPI

Gustavo Paradiz

Doing business as San Jose Physical Therapy

  • Physical Therapy Clinic/Center
  • San Jose, CA
National Provider Identifier
1326121393
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT12719 Issued in CA
Legal business name
GUSTAVO PARADIZ
Doing business as
San Jose Physical Therapy
Practice address
125 N Jackson Ave
Ste 201
San Jose, CA 95116-1903
Phone
(408) 254-7722
Fax
(408) 254-7416
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Gustavo Paradiz, PT
Title
Owner/Physical Therapist
Phone
(408) 254-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT12719 CA Primary

Addresses

Primary practice location

125 N Jackson Ave
Ste 201
San Jose, CA 95116-1903

Mailing address

125 N Jackson Ave
Ste 201
San Jose, CA 95116-1903
Phone (408) 254-7722

Other names 1

  • San Jose Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

125 N Jackson Ave
Ste 201
San Jose, CA 95116
Phone (408) 254-7722

Practitioners & affiliated clinicians

Practitioners 2

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": "1213833600000",
    "number": "1326121393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N JACKSON AVE",
            "address_2": "STE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161903",
            "telephone_number": "408-254-7722",
            "fax_number": "408-254-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N JACKSON AVE",
            "address_2": "STE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161903",
            "telephone_number": "408-254-7722",
            "fax_number": "408-254-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO PARADIZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "PARADIZ",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "408-254-7722",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT12719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Jose Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.