Silver Creek Physical Therapy Los Gatos PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SILVER CREEK PHYSICAL THERAPY LOS GATOS PC

Doing business as

Silver Creek Physical Therapy

Practice address

14103 Winchester Blvd
Ste F
Los Gatos, CA 95032-1835

Phone

(408) 868-5577

Fax

(408) 868-5577

NPI assigned

Nov 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. John Randall Waltz, MPT

Title

Ceo

Phone

(408) 841-7203

Specialties & licenses 1

Addresses

Other names 1

• Silver Creek Physical Therapy Doing business as

Practitioners 1

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

• Jada Marvin, SLP

  • Speech-Language Pathologist
  • Los Gatos, CA
  • NPI 1992186704
  NPD (past)

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1609273564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 SAN FELIPE RD",
            "address_2": "100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351503",
            "telephone_number": "408-841-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14103 WINCHESTER BLVD",
            "address_2": "STE F",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321835",
            "telephone_number": "408-868-5577",
            "fax_number": "408-868-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK PHYSICAL THERAPY LOS GATOS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "WALTZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-841-7203",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Creek Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Silicon Valley Woman to Woman Med Assoc
• Oners Silva Martinez
• Robert Silva, MD
• W. James Silva, M.D.
• Karolina Silveira
• Kenneth Jay Silver, M.D.
• Martin Steven Silverman, MD
• Simon P Morris DDS Inc
• Erica Simon, PH.D.
• Yael Simonson

• Physical Therapist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.