Netic Physical Therapy Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NETIC PHYSICAL THERAPY INC.

Practice address

1390 Market St Ste 200
San Francisco, CA 94102-5404

Phone

(510) 761-9354

Fax

(949) 276-3039

NPI assigned

Mar 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Susan Catherine Nowell, DPT

Title

Director

Phone

(415) 205-0781

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1639754245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 DWIGHT WAY APT 5",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042143",
            "telephone_number": "510-761-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 MARKET ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025404",
            "telephone_number": "510-761-9354",
            "fax_number": "949-276-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETIC PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "NOWELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-205-0781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi F Nessim, AMFT
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• Lisa G Netherland, MD
• Andrew Scot Nett, M.D.
• Wondelyn Nettles-Tutwiler, DRUG AND ALCOHOL
• Simone Naomi Nettles
• Suzannah Tipermas Neufeld, M.A.
• Ashley Kirsten Neugeschwender

• Physical Therapy Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.