Organization Active NPI

Mission District Physical Therapy & Rehabilitation, Inc

Doing business as Mission District Therapy

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1659403699
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MISSION DISTRICT PHYSICAL THERAPY & REHABILITATION, INC
Doing business as
Mission District Therapy
Practice address
3488 20TH St
San Francisco, CA 94110
Phone
(415) 824-4228
Fax
(415) 824-4678
NPI assigned
Mar 12, 2007
Last updated
Apr 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Raul Caimanque, PTNPI 1841322963
Title
Owner
Phone
(415) 824-4228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3488 20TH St
San Francisco, CA 94110

Mailing address

3488 20TH St
San Francisco, CA 94110
Phone (415) 824-4228

Other names 1

  • Mission District Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

3490 20th St
Fl First
San Francisco, CA 94110
Phone (415) 824-4228

3488 20th St
San Francisco, CA 94110
Phone (415) 824-4228

3490 20th St
San Francisco, CA 94110
Phone (415) 648-8400

3490 20th St
#1
San Francisco, CA 94110
Phone (415) 824-4228

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1659403699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3488 20TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-824-4228",
            "fax_number": "415-824-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3488 20TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-824-4228",
            "fax_number": "415-824-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION DISTRICT PHYSICAL THERAPY & REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "CAIMANQUE",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-824-4228",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission District Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission District Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

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