Sportfit Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPORTFIT PHYSICAL THERAPY INC

Practice address

350 Bollinger Canyon Lane
Suite a
San Ramon, CA 94583

Phone

(925) 735-6414

Fax

(925) 735-6450

NPI assigned

Nov 18, 2005

Organization subpart

No

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

Authorized official

Name

Anne Lasson, VP

Title

Vice President

Phone

(408) 570-0510

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Sportfit Physical Therapy I Doing business as

Locations

Practitioners 1

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

• Dennis Shay Halliday, PHYSICAL THERAPIST

  • Physical Therapist
  • Stockton, CA
  • NPI 1558345959
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1568444073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612260",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95161",
            "telephone_number": "877-325-2776",
            "fax_number": "408-945-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOLLINGER CANYON LANE",
            "address_2": "SUITE A",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-735-6414",
            "fax_number": "925-735-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTFIT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "LASSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-570-0510",
        "authorized_official_credential": "VP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6566104",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8153286",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ40525Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sportfit Physical Therapy I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Speech Method Therapy, P.C.
• Brianne M Spencer, D.P.T.
• Brianna Kaitlyn Spielvogel, BCBA
• Elena Spirkina
• Splendor Management Corp
• Mayra Veronica Spurr
• Marilee Anne Squires, D.P.T.
• Sr Physical Therapy a Professional Corporation
• Sashank Sreedar
• Kirthana Srikanth

• Physical Therapist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.