Active NPI
Thanit Noom Sirimaturos, PT, DPT, FAAOMPT
- Orthopedic Physical Therapist
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 39389
- Practice address
- 3825 El Camino Real
Palo Alto, CA 94306-3324 - Phone
- (650) 565-8090
- NPI assigned
- Sep 19, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 39389 | CA | |
| Sports Physical Therapist | 2251S0007X | 39389 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | 39389 | CA | Primary |
Addresses
Primary practice location
3825 El Camino Real
Palo Alto, CA 94306-3324
Mailing address
4038 Fitzpatrick Way
Santa Clara, CA 95054-4194
Phone (626) 922-7139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3825 El Camino Real
Palo Alto, CA 94306-3324
Phone (650) 565-8090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39389 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Agile Physical Therapy Inc | Current | Accepting new patients | |
| Goodman Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
2001 S Barrington Ave
Ste 119
Los Angeles, CA 90025
Phone (310) 441-1102
3825 El Camino Real
Palo Alto, CA 94306
Phone (856) 296-2860
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914
801 N San Mateo Dr
San Mateo, CA 94401
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Palo Alto, CA
- NPI 1659445443
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Physical Therapist
- Los Angeles, CA
- NPI 1205017514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1407107238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4038 FITZPATRICK WAY",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950544194",
"telephone_number": "626-922-7139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 EL CAMINO REAL",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943063324",
"telephone_number": "650-565-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRIMATUROS",
"first_name": "THANIT",
"middle_name": "NOOM",
"credential": "PT, DPT, FAAOMPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-19",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39389",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "39389",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "39389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.