Individual provider Active NPI

Sydney James McDowell, MSPT

  • Specialist
  • San Francisco, CA
National Provider Identifier
1336100908
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT28859 Issued in CA
Practice address
1 Embarcadero Ctr Lbby Level
San Francisco, CA 94111
Phone
(415) 235-3834
Fax
(415) 799-3301
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT28859 CA Primary

Addresses

Primary practice location

1 Embarcadero Ctr Lbby Level
San Francisco, CA 94111

Mailing address

2998 California St
San Francisco, CA 94115-2433
Phone (415) 235-3834

Other practice location 1

1162 Gorgas Ave # B
San Francisco, CA 94129-1406
Phone (415) 561-6655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28859CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Presidio Sport & Medicine, Inc. PastSince May 4, 2002 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1336100908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2998 CALIFORNIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152433",
            "telephone_number": "415-235-3834",
            "fax_number": "415-799-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR LBBY LEVEL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94111",
            "telephone_number": "415-235-3834",
            "fax_number": "415-799-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1162 Gorgas Ave # B",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941291406",
            "country_code": "US",
            "telephone_number": "415-561-6655",
            "fax_number": "415-561-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "SYDNEY",
        "middle_name": "JAMES",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT28859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 15, 2019; 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.