Active NPI
TKB Sports Medicine & Rehabilitation
- Sports Physical Therapist
- Morgan Hill, CA
National Provider Identifier
1336409085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CA | ||
| Sports Physical Therapist | 2251S0007X | CA | Primary | |
| Physical Therapy Assistant | 225200000X | CA | ||
| Athletic Trainer | 2255A2300X | CA | ||
| Medical Physician Assistant | 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 DirectoryLocations
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.