Peninsula Spine Education &Treatment Center

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

PENINSULA SPINE EDUCATION &TREATMENT CENTER

Practice address

424 N San Mateo Dr
100
San Mateo, CA 94401-2491

Phone

(650) 348-5112

NPI assigned

Sep 23, 2006

Last updated

Aug 22, 2020By 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

Carol Ann Ludwig, P.T.NPI 1902906696

Title

Physical Therapist/Partner

Phone

(650) 348-5112

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Ann Ludwig, P.T.

  • Orthopedic Physical Therapist
  • San Mateo, CA
  • NPI 1902906696
  Authorized official Same address or phone

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528168218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N SAN MATEO DR",
            "address_2": "100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012491",
            "telephone_number": "650-348-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N SAN MATEO DR",
            "address_2": "100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012491",
            "telephone_number": "650-348-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA SPINE EDUCATION &TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUDWIG",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PARTNER",
        "authorized_official_telephone_number": "650-348-5112",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Nephrology, Inc. (South San Francisco Dialysis Center)
• Peninsula OBGYN Integrative
• Peninsula Pediatric Dental Practice
• Peninsula Pediatric Med GRP Inc
• Peninsula Spine & Sports Rehab, a Rommel Hindocha Chiropractic Corp.
• Peninsula Ultrasound, Mammography & Radiology Services Medical Group
• Peninsula Ultrasound, Mammography and Radiology Services Med Group Inc (Peninsula Diagnostic Imaging Inc)
• William Joseph Penrod, D.C.
• Erin Pensinger, MA, MFT
• Katherine Perdiguerra

• Orthopedic Physical Therapist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Orthopedic Physical Therapist in California

• 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.