Pacific Therapy and Rehab, Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT5979 Issued in CA

Legal business name

PACIFIC THERAPY AND REHAB, INC

Practice address

696 E Santa Clara St
Suite 209
San Jose, CA 95112-1911

Phone

(408) 993-9200

NPI assigned

Dec 27, 2006

Last updated

Jul 31, 2008By 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

Robert M Chan

Title

Vice President

Phone

(408) 832-9656

Specialties & licenses 1

Addresses

Tax ID family

Pacific Therapy and Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pacific Therapy and Rehab, Inc

  • Rehabilitation Clinic/Center
  • Fremont, CA
  • NPI 1962568493
  NPD tax ID

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.

• Lisa S Chan, O.T.R.

  • Occupational Therapist
  • San Jose, CA
  • NPI 1770649352
  NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1598820862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610638",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951610638",
            "telephone_number": "408-832-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 E SANTA CLARA ST",
            "address_2": "SUITE 209",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951121911",
            "telephone_number": "408-993-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC THERAPY AND REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-832-9656"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT5979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Partners Medical Group Inc.
• Pacific Pharmacy
• Pacific Regenerative and Interventional Sports Medicine
• Pacific Rim Physical Therapy P.C.
• Pacific Rim Rehabilitation Center
• Pacifica Clinics
• Pacifico C Santos Medical Corp
• Pacifico C. Santos, MD Inc
• Faith Pacifico, MS CCC-SLP
• Ana Wong Pacis, FNP

• Occupational Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.