Active NPI
Christopher Suarez Ayubo, P.T.
- Physical Therapist
- San Jose, CA
National Provider Identifier
1548455736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0002133
- Practice address
- 4300 The Woods Dr Apt 1807
San Jose, CA 95136-3823 - Phone
- (408) 578-8442
- NPI assigned
- Sep 11, 2007
- 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 | J1-0002133 | DE | Primary |
Addresses
Primary practice location
4300 The Woods Dr Apt 1807
San Jose, CA 95136-3823
Mailing address
4300 The Woods Dr Apt 1807
San Jose, CA 95136-3823
Phone (408) 578-8442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0002133 | DE | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1548455736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 THE WOODS DR APT 1807",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951363823",
"telephone_number": "408-578-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 THE WOODS DR APT 1807",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951363823",
"telephone_number": "408-578-8442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYUBO",
"first_name": "CHRISTOPHER",
"middle_name": "SUAREZ",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0002133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.