Organization Active NPI

Homestretch Neuro Physical Therapy

  • Neurology Physical Therapist
  • Daly City, CA
National Provider Identifier
1548989668
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
Legal business name
HOMESTRETCH NEURO PHYSICAL THERAPY
Practice address
702 Acton St
Daly City, CA 94014-1374
Phone
(650) 209-0120
NPI assigned
Aug 23, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Dr. Brian Lloyd Baltazar Trieu-Mallari
Title
Founder, Ceo, PT
Phone
(650) 209-0120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X NU Primary

Addresses

Primary practice location

702 Acton St
Daly City, CA 94014-1374

Mailing address

702 Acton St
Daly City, CA 94014-1374

Other identifiers 1

IdentifierTypeStateIssuer
1811557150OtherCANPI NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mallaribrian@homestretchneuropt.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1548989668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 ACTON ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 ACTON ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141374",
            "telephone_number": "650-209-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTRETCH NEURO PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "TRIEU-MALLARI",
        "authorized_official_first_name": "BRIAN LLOYD",
        "authorized_official_middle_name": "BALTAZAR",
        "authorized_official_title_or_position": "FOUNDER, CEO, PT",
        "authorized_official_telephone_number": "650-209-0120",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1811557150",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mallaribrian@homestretchneuropt.com",
            "affiliation": "N",
            "endpointDescription": "Protected email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "702 Acton St",
            "city": "Daly City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940141374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.