Individual provider Active NPI

Laura Beatrice Cabrera, P.T. C.O.M.T.

  • Physical Therapist
  • Sunnyvale, CA
National Provider Identifier
1366524498
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 26106 Issued in CA
Practice address
1055 Sunnyvale Saratoga Rd
Suite 6
Sunnyvale, CA 94087-2500
Phone
(408) 774-1424
Fax
(408) 774-0851
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 26106 CA Primary

Addresses

Primary practice location

1055 Sunnyvale Saratoga Rd
Suite 6
Sunnyvale, CA 94087-2500

Mailing address

2403 McKinley Ave
Berkeley, CA 94703-1927
Phone (510) 508-9752

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
PT 26106CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BG Medical, Inc PastSince Oct 9, 2022 Accepting new patients
Lucas Physical Therapy and Fitness Inc Physical Therapist Past Accepting new patients
BG Medical, Inc Physical Therapist PastSince Oct 9, 2022 Accepting new patients

Organizations & group practices 3

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366524498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 MCKINLEY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031927",
            "telephone_number": "510-508-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SUNNYVALE SARATOGA RD",
            "address_2": "SUITE 6",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872500",
            "telephone_number": "408-774-1424",
            "fax_number": "408-774-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "LAURA",
        "middle_name": "BEATRICE",
        "credential": "P.T. C.O.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 26106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.