Peggy Shultz Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT7012 Issued in CA

Legal business name

PEGGY SHULTZ PHYSICAL THERAPY, INC.

Practice address

4442 Piedmont Ave Ste C
Oakland, CA 94611-4231

Phone

(510) 652-2476

NPI assigned

Mar 14, 2007

Last updated

Aug 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chany Peggy Shultz, R.P.T.

Title

Physical Therapist

Phone

(510) 652-2476

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1477687515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4442 PIEDMONT AVE STE C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114231",
            "telephone_number": "510-652-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4442 PIEDMONT AVE STE C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114231",
            "telephone_number": "510-652-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY SHULTZ PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "CHANY",
        "authorized_official_middle_name": "PEGGY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "510-652-2476",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT7012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Therapy Clinic/Center in California

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