NPIMap

Organization Active NPI

Quinn Orthopedic Physical Therapy

  • Physical Therapy Clinic/Center
  • Cupertino, CA
National Provider Identifier
1568506178
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
QUINN ORTHOPEDIC PHYSICAL THERAPY
Practice address
20823 Stevens Creek Blvd
Suite #200
Cupertino, CA 95014-2108
Phone
(408) 252-6076
Fax
(408) 252-1159
NPI assigned
Feb 16, 2007
Last updated
Apr 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
David G Lemire
Title
Business Manager,Cfo,Secretary
Phone
(408) 252-6076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

20823 Stevens Creek Blvd
Suite #200
Cupertino, CA 95014-2108

Mailing address

20823 Stevens Creek Blvd
Suite #200
Cupertino, CA 95014-2108
Phone (408) 252-6076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070420000337 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244335180 Receives reassigned benefits from 17 practitioners
Practice locations: Cupertino, CA; San Jose, CA

National Provider Directory

National Provider Directory

Locations

1590 The Alameda
Ste 110
San Jose, CA 95126
Phone (408) 947-8466

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1568506178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20823 STEVENS CREEK BLVD",
            "address_2": "SUITE #200",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142108",
            "telephone_number": "408-252-6076",
            "fax_number": "408-252-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20823 STEVENS CREEK BLVD",
            "address_2": "SUITE #200",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142108",
            "telephone_number": "408-252-6076",
            "fax_number": "408-252-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINN ORTHOPEDIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "LEMIRE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BUSINESS MANAGER,CFO,SECRETARY",
        "authorized_official_telephone_number": "408-252-6076"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.