Individual provider Active NPI

Orna Eliav-Meiri, PHYSICAL THERAPIST

  • Physical Therapist
  • San Mateo, CA
National Provider Identifier
1376526525
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29365 Issued in CA
Practice address
2001 Winward Way
101
San Mateo, CA 94404-2499
Phone
(650) 571-6800
Fax
(650) 571-1260
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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 PT29365 CA Primary

Addresses

Primary practice location

2001 Winward Way
101
San Mateo, CA 94404-2499

Mailing address

2001 Winward Way
101
San Mateo, CA 94404-2469
Phone (650) 571-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914001291 CA Practitioner - Physical Therapist in Private Practice 7012984479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Ramon Valley Physical Therapy IncGroup PAC ID 6901874023, 12 clinicians

Practice addresses (Care Compare)

12677 Alcosta Blvd
Suite 150
San Ramon, CA 94583-4423
Phone (925) 355-1900

917 San Ramon Valley Blvd
Suite 190
Danville, CA 94526-4032
Phone (925) 552-5787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT29365CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Ramon Valley Physical Therapy Inc. Physical Therapist CurrentSince Sep 30, 2015 Accepting new patients
Kimberly Gladfelter Past Accepting new patients
Physiofit Physical Therapy & Wellness, P.C. Physical Therapist PastSince Nov 29, 2017 Accepting new patients

Locations

917 San Ramon Valley Blvd
Ste 190
Danville, CA 94526
Phone (925) 552-5787

380 Diablo Rd
Ste 201
Danville, CA 94526
Phone (925) 552-5787

12677 Alcosta Blvd
Ste 150
San Ramon, CA 94583
Phone (925) 355-1900

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1376526525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WINWARD WAY",
            "address_2": "101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944042469",
            "telephone_number": "650-571-6800",
            "fax_number": "650-571-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WINWARD WAY",
            "address_2": "101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944042499",
            "telephone_number": "650-571-6800",
            "fax_number": "650-571-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAV-MEIRI",
        "first_name": "ORNA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.