Sport Clinic

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

155070 Issued in CA

Legal business name

SPORT CLINIC

Doing business as

Mark Sasao, MPT

Practice address

3756 S Bascom Ave
San Jose, CA 95124-2662

Phone

(408) 559-5119

Fax

(408) 559-5139

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

Janine Michelle Sasao

Title

Office Manager

Phone

(408) 559-5119

Specialties & licenses 1

Addresses

Other names 1

• Mark Sasao, MPT Doing business as

Locations

Practitioners 1

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

• Mark Alan Sasao, M.P.T.

  • Orthopedic Physical Therapist
  • San Jose, CA
  • NPI 1942218375
  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1376827626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242662",
            "telephone_number": "408-559-5119",
            "fax_number": "408-559-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242662",
            "telephone_number": "408-559-5119",
            "fax_number": "408-559-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "SASAO",
        "authorized_official_first_name": "JANINE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-559-5119"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "155070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Sasao, MPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Spieler, M.S., SLP
• Spiral Process Therapy
• Marketa Spiro, M.D.
• Steven A. Spisak, MD
• Splendor Health Center
• Sports Bracing USA, Inc.
• Sports Orthopedic and Rehabilitation Medicine Associates
• Cynthia Raynaud Sprauve, LMFT
• Spread Your Wings for Mental Health Inc
• Spread Your Wings LLC

• Physical Therapist in San Jose, CA
• Providers in San Jose, 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 5, 2011; 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.