Stephanie Anne Prendergast, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25585 Issued in CA

Practice address

2000 Van Ness Ave Ste 603
San Francisco, CA 94109-3016

Phone

(415) 440-7600

Fax

(415) 440-6803

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prendergast and Rummer Phys Therapy Pelvic Health & Rehabiliation Ctr

  dba Pelvic Health and Rehabilitation Center

  • Physical Therapy Clinic/Center
  • San Francisco, CA
  • NPI 1205112174

  Physical Therapist

  NPD
• Akincilar and Prendergast, Inc

  dba Pelvic Health and Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Lexington, MA
  • NPI 1801288824

  Physical Therapist

  NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386707388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 VAN NESS AVE STE 603",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093016",
            "telephone_number": "415-440-7600",
            "fax_number": "415-440-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VAN NESS AVE STE 603",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093016",
            "telephone_number": "415-440-7600",
            "fax_number": "415-440-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENDERGAST",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of California Medical PC (Google Wellness Center)
• Mukund Premkumar, MD
• Nana Agya Boakye Atonsah Prempeh, MD
• Charlene Jade Crisostomo Premyodhin
• Prendergast and Rummer Phys Therapy Pelvic Health & Rehabiliation Ctr (Pelvic Health and Rehabilitation Center)
• Lawrence Prensky, M.S.
• Sandra C Prentice, FNP
• Diane E Prentiss, M.A., M.P.H.
• Lauren Prentiss, DACM, MSTCM, L.AC
• Steven L Prenzlauer, MD

• Physical Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.