Jeanette Krogstad Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

JEANETTE KROGSTAD PHYSICAL THERAPY

Practice address

350 State St
Los Altos, CA 94022-2815

Phone

(408) 718-7788

NPI assigned

Mar 18, 2020

Organization subpart

No

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

Authorized official

Name

Jeanette Krogstad, PTNPI 1174708333

Title

Owner/Ceo

Phone

(408) 718-7788

Specialties & licenses 1

Addresses

Other names 1

• Jeanette Krogstad PT Former legal business name

Locations

Practitioners 1

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

• Jeanette M Krogstad, PT

  • Orthopedic Physical Therapist
  • Sunnyvale, CA
  • NPI 1174708333
  NPD (past) Authorized official

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1346876687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 PILINUT CT",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871841",
            "telephone_number": "408-718-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 STATE ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222815",
            "telephone_number": "408-718-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE KROGSTAD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "KROGSTAD",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "408-718-7788",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeanette Krogstad PT",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Linsey Jacobs, MD
• Shiv M Jain, MD
• Hailey Mattes James, BCBA
• Jasmine H. Le D.D.S., Inc.
• JBRP Lifestyles LLC
• Jeffrey a. Diamond DDS, Inc.
• Jeffrey a. Diamond DDS, Inc.
• Ruth Antionette Jenkins, RNNP
• Jenna Arruda, M.D., a Professional Corporation
• Jennifer Zumarraga MD a Professional Medical Corporation

• Physical Therapy Clinic/Center in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.