J. B. Physical Therapy, Inc.
Organization Active NPI Physical Therapist · Freedom, CA
NPI 1649757428 · NPPES record last updated Nov 12, 2018
Key facts
- NPI
- 1649757428
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT27295 (CA)
- Legal business name
- J. B. PHYSICAL THERAPY, INC.
- Practice address
- 212 Green Valley Road
Freedom, CA 95019 - Phone
- (831) 536-5115
- Fax
- (833) 264-6644
- NPI assigned
- Jul 24, 2018
- Organization subpart
- No
Authorized official
- Name
- Jose Bugay, D.P.T.
- Title
- President
- Phone
- (559) 355-3160
Practitioners 4
-
Jose Bugay, D.P.T.
-
Angel A Valdez, PTA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190102002504 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7416292958 |
Receives reassigned benefits from 1 practitioner Practice locations: Freedom, CA |
National Provider Directory
Locations
212 Green Valley Rd
Freedom, CA 95019
Phone (831) 536-5115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | PT27295 | CA | Yes |
Addresses
Primary practice location
212 Green Valley Road
Freedom, CA 95019
Mailing address
212 Green Valley Road
Freedom, CA 95019
Other providers in Freedom, CA
- Healthstat Wellness WG Watsonville
- Rachel Hong
- Andrew P Horsley
- Carmen Philomena Hsu
- Michael A Irete
- Nancy Loraine Jacobsen
- Jeffrey G. Mace, M.D., Professional Corporation
- John V Crowder Jr MD Inc
- John V. Crowder Jr M.D. Inc.
- William C Kadell
All providers in Freedom, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.