Campbell'S Premier Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CAMPBELL'S PREMIER PHYSICAL THERAPY, INC

Practice address

163 E Hamilton Ave
Campbell, CA 95008-0245

Phone

(408) 866-5567

Fax

(408) 866-1317

NPI assigned

Oct 22, 2021

Organization subpart

No

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

Authorized official

Name

Derinda Garlick

Title

Office Manager/Administrator

Phone

(408) 866-5567

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathrina Jesy Ann Guarin Gacot, PT

  • Physical Therapist
  • San Jose, CA
  • NPI 1366255143
  Medicare reassignment Care Compare group NPD
• Gurjit Singh Gill, DPT

  • Physical Therapist
  • Campbell, CA
  • NPI 1518620855
  Medicare reassignment Care Compare group NPD
• Gianna Marie O'Connor

  • Physical Therapist
  • Menlo Park, CA
  • NPI 1790553055
  Medicare reassignment Care Compare group NPD
• Chris M. Ota, RPT

  • Sports Physical Therapist
  • Campbell, CA
  • NPI 1275613119
  Medicare reassignment Care Compare group NPD
• Francesca Dalangin

  • Physical Therapist
  • Sunnyvale, CA
  • NPI 1164057550
  Medicare reassignment NPD
• Siddhi Shah, P.T.

  • Physical Therapist
  • San Jose, CA
  • NPI 1760044911
  Medicare reassignment NPD

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1508520834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 E HAMILTON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080245",
            "telephone_number": "408-866-5567",
            "fax_number": "408-866-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 E HAMILTON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080245",
            "telephone_number": "408-866-5567",
            "fax_number": "408-866-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL'S PREMIER PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "GARLICK",
        "authorized_official_first_name": "DERINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "408-866-5567"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cpts@campbellpt.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "163 E Hamilton Ave",
            "city": "Campbell",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950080245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Campbell Optometric Group
• Campbell Surgery Center
• Campbell Teen & Family Therapy
• Campbell Union School District
• Gabrielle Campbell
• Elizabeth Ann Campisi
• Miriam Campos Solorio
• Angelica Campos, LVN
• Nancy Lydia Campos
• Kathryn Campoy

• Physical Therapy Clinic/Center in Campbell, CA
• Providers in Campbell, 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 Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.