Henry Pallotta & Caramia Pallotta, PTRS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0700000325 Issued in CA

Legal business name

HENRY PALLOTTA & CARAMIA PALLOTTA, PTRS

Doing business as

Manteca Physical Therapy

Practice address

1041 N Main St Ste a
Manteca, CA 95336-3744

Phone

(209) 239-4325

Fax

(209) 239-2320

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Henry Alan Pallotta, PT

Title

Partnership

Phone

(209) 239-4325

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Manteca Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1376661611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 N MAIN ST STE A",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953363744",
            "telephone_number": "209-239-4325",
            "fax_number": "209-239-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N MAIN ST STE A",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953363744",
            "telephone_number": "209-239-4325",
            "fax_number": "209-239-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY PALLOTTA & CARAMIA PALLOTTA, PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "PALLOTTA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PARTNERSHIP",
        "authorized_official_telephone_number": "209-239-4325",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "0700000325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "171414000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manteca Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Manteca, CA
• Providers in Manteca, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.