Organization Active NPI

TKB Sports Medicine & Rehabilitation

  • Sports Physical Therapist
  • Morgan Hill, CA
National Provider Identifier
1336409085
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
TKB SPORTS MEDICINE & REHABILITATION
Practice address
356 Digital Dr
Morgan Hill, CA 95037-2879
Phone
(408) 440-2359
Fax
(408) 890-4775
NPI assigned
May 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Jennah Huong Le
Title
Office Manager
Phone
(408) 440-2359

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X CA
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X CA Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X CA
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X CA
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X CA

Addresses

Primary practice location

356 Digital Dr
Morgan Hill, CA 95037-2879

Mailing address

10521 Potts Way
San Jose, CA 95111-3330
Phone (408) 440-2359

National Provider Directory

National Provider Directory

Locations

356 Digital Dr
Morgan Hill, CA 95037
Phone (408) 440-2359

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1336409085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 POTTS WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951113330",
            "telephone_number": "408-440-2359",
            "fax_number": "408-890-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 DIGITAL DR",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372879",
            "telephone_number": "408-440-2359",
            "fax_number": "408-890-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKB SPORTS MEDICINE & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "JENNAH",
        "authorized_official_middle_name": "HUONG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-440-2359"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.