NPIMap

Organization Active NPI

Embarcadero Physical Therapy Inc

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1508947474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EMBARCADERO PHYSICAL THERAPY INC
Practice address
88 Jackson Street
San Francisco, CA 94111
Phone
(415) 362-2442
Fax
(415) 362-2790
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Philip Go, PTNPI 1992897011
Title
Director Owner
Phone
(415) 362-2442

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

88 Jackson Street
San Francisco, CA 94111

Mailing address

88 Jackson Street
San Francisco, CA 94111
Phone (415) 362-2442

National Provider Directory

National Provider Directory

Locations

88 Jackson St
San Francisco, CA 94111
Phone (415) 362-2442

500 Washington St
Ste 340
San Francisco, CA 94111
Phone (415) 362-2442

Practitioners & affiliated clinicians

Practitioners 6

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508947474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 JACKSON STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94111",
            "telephone_number": "415-362-2442",
            "fax_number": "415-362-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 JACKSON STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94111",
            "telephone_number": "415-362-2442",
            "fax_number": "415-362-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBARCADERO PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "415-362-2442",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.