Active NPI
Quinten Gustavo Pabon, PT, DPT
- Physical Therapist
- Redwood City, CA
National Provider Identifier
1497568877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT307177
- Practice address
- 2944 Broadway
Redwood City, CA 94062-1510 - Phone
- (650) 261-0330
- NPI assigned
- Jan 29, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT307177 | CA | Primary |
Addresses
Primary practice location
2944 Broadway
Redwood City, CA 94062-1510
Mailing address
2944 Broadway
Redwood City, CA 94062-1510
Phone (650) 261-0330
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, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2944 Broadway
Redwood City, CA 94062-1510
Phone (650) 261-0330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT307177 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
2944 Broadway
Redwood City, CA 94062
Phone (650) 261-0330
1208 E Arques Ave
Ste 105
Sunnyvale, CA 94085
Phone (650) 551-0330
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- San Carlos, CA
- NPI 1669670329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1497568877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2944 BROADWAY",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940621510",
"telephone_number": "650-261-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2944 BROADWAY",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940621510",
"telephone_number": "650-261-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABON",
"first_name": "QUINTEN",
"middle_name": "GUSTAVO",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-29",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT307177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.