Pace Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PACE PHYSICAL THERAPY

Practice address

3880 S Bascom Ave Ste 106
San Jose, CA 95124-2600

Phone

(408) 628-0447

NPI assigned

Mar 21, 2019

Organization subpart

No

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

Authorized official

Name

Vidya Devarapalli, DPTNPI 1063930055

Title

Owner

Phone

(617) 480-4322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vidya Devarapalli, PT, DPT

  • Orthopedic Physical Therapist
  • Los Gatos, CA
  • NPI 1063930055
  Medicare reassignment Care Compare group NPD Authorized official
• Aparajitha Gottapu, P.T.

  • Physical Therapist
  • Santa Clara, CA
  • NPI 1629342340
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1336609833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 S BASCOM AVE STE 106",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242600",
            "telephone_number": "408-628-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 S BASCOM AVE STE 106",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242600",
            "telephone_number": "408-628-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "DEVARAPALLI",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-480-4322",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PA Medical Group Inc
• Baldeep Singh Pabla, LCSW
• Desiree Pablico
• Rose Mae Mangahas Pablo
• Pace Clinic
• Erin Allyn Pace, PHARMD
• Rory Pace, MPH, RD, CSR
• Juan Antonio Pacheco Cruz
• Humberto Pacheco del Real
• Alejandra Pacheco Ramirez

• Physical Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.