NPIMap

Organization Active NPI

Select Physical Therapy of Portola Valley Limited Partnership

Doing business as Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1386613073
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SELECT PHYSICAL THERAPY OF PORTOLA VALLEY LIMITED PARTNERSHIP
Doing business as
Select Physical Therapy
Practice address
454 Forest Ave
Palo Alto, CA 94301-2608
Phone
(650) 331-3700
Fax
(650) 331-3730
NPI assigned
Mar 15, 2006
Last updated
Mar 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Authorized official

Name
Michael Tarvin
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

454 Forest Ave
Palo Alto, CA 94301-2608

Mailing address

454 Forest Ave
Palo Alto, CA 94301-2608
Phone (650) 331-3700

Other names 1

  • Select Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

299 California Ave
Ste 300
Palo Alto, CA 94306
Phone (650) 331-3700

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1386613073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 FOREST AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012608",
            "telephone_number": "650-331-3700",
            "fax_number": "650-331-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 FOREST AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012608",
            "telephone_number": "650-331-3700",
            "fax_number": "650-331-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT PHYSICAL THERAPY OF PORTOLA VALLEY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.