Organization Active NPI

Access Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • San Jose, CA
National Provider Identifier
1477056273
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ACCESS THERAPY LLC
Practice address
3790 Fontveille CT
San Jose, CA 95127-2147
Phone
(408) 753-0775
Fax
(405) 385-2511
NPI assigned
Mar 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Abigail Vicencio Cabral, PT
Title
Coo
Phone
(408) 753-0775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

3790 Fontveille CT
San Jose, CA 95127-2147

Mailing address

3790 Fontveille CT
San Jose, CA 95127-2147
Phone (408) 753-0775

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1477056273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 FONTVEILLE CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272147",
            "telephone_number": "408-753-0775",
            "fax_number": "405-385-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 FONTVEILLE CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272147",
            "telephone_number": "408-753-0775",
            "fax_number": "405-385-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CABRAL",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "VICENCIO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "408-753-0775",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.