Organization Active NPI

Stretchy.US LLC

  • Mechanotherapist
  • San Mateo, CA
National Provider Identifier
1508694241
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
Legal business name
STRETCHY.US LLC
Practice address
2401 East 3Rd Ave
San Mateo, CA 94404
Phone
(916) 812-4190
NPI assigned
Jul 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Brandon BakhtiarNPI 1194559559
Title
Founder
Phone
(916) 812-4190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MechanotherapistGroup: 193400000X SINGLE SPECIALTY GROUP 172M00000X Primary

Addresses

Primary practice location

2401 East 3Rd Ave
San Mateo, CA 94404

Mailing address

600 Mariners Island Blvd Apt 6
San Mateo, CA 94404-1022
Phone (916) 812-4190

Other names 1

  • Stretchy Doing business as

National Provider Directory

National Provider Directory

Locations

2401 E 3rd Ave
Foster City, CA 94404
Phone (916) 812-4190

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1508694241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MARINERS ISLAND BLVD APT 6",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041022",
            "telephone_number": "916-812-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 EAST 3RD AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94404",
            "telephone_number": "916-812-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRETCHY.US LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "BAKHTIAR",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "916-812-4190"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stretchy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stretchy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.