Washington Township Hospital Development Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OT8813 Issued in CA

Legal business name

WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION

Doing business as

Washington Outpatient Rehab Center

Practice address

39141 Civic Center Dr
Suite 120
Fremont, CA 94538-5818

Phone

(510) 794-9672

Fax

(510) 792-8138

NPI assigned

Nov 11, 2008

Last updated

Aug 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Farber

Title

President and Ceo

Phone

(510) 745-6500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Washington Outpatient Rehab Center Doing business as

Tax ID family

Washington Outpatient R2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Washington Outpatient Rehabilitation Center, a Joint Venture

  dba Washington Outpatient Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Fremont, CA
  • NPI 1861443434
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharmi Mukherjee, M.P.T.

  • Physical Therapist
  • Fremont, CA
  • NPI 1467509927
  NPD

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1376797886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39141 CIVIC CENTER DR",
            "address_2": "SUITE 120",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945385818",
            "telephone_number": "510-794-9672",
            "fax_number": "510-792-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39141 CIVIC CENTER DR",
            "address_2": "SUITE 120",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945385818",
            "telephone_number": "510-794-9672",
            "fax_number": "510-792-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "FARBER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "510-745-6500"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "OT8813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ34510Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCT000660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Outpatient Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Washington Outpatient Rehabilitation Center, a Joint Venture (Washington Outpatient Rehabilitation Center)
• Washington Outpatient Surgery Center, LLC (Washington Outpatient Surgery Center)
• Washington Radiation Oncology Center, a Medical Group, Inc
• Washington Radiologists Medical Group, Inc.
• Washington Township Hospital Development Corporation (Washington On Wheels)
• Washington Township Hospital Development Corporation (Washington Urgent Care)
• Washington Township Hospital Development Corporation (Washington Radiation Oncology Center)
• Washington Township Hospital District
• Washington Township Hospital District
• Washington Township Hospital District (Washington Hospital)

• Clinic/Center in Fremont, CA
• Providers in Fremont, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.