NPIMap

Organization Active NPI

Advance Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • San Carlos, CA
National Provider Identifier
1669670329
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 23582 Issued in CA
Legal business name
ADVANCE PHYSICAL THERAPY, INC.
Practice address
1010 Laurel St
San Carlos, CA 94070-3919
Phone
(415) 297-5840
NPI assigned
Jul 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Dr. Alton Ching, PT, DPT, OMT, MSNPI 1053446500
Title
Doctor of Physical Therapy
Phone
(415) 297-5840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT 23582 CA Primary

Addresses

Primary practice location

1010 Laurel St
San Carlos, CA 94070-3919

Mailing address

1010 Laurel St
San Carlos, CA 94070-3919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071031000597 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0840387288 Receives reassigned benefits from 7 practitioners
Practice locations: Redwood City, CA; Sunnyvale, CA

National Provider Directory

National Provider Directory

Locations

2944 Broadway
Redwood City, CA 94062
Phone (650) 261-0330

1208 E Arques Ave
Ste 105
Sunnyvale, CA 94085
Phone (650) 551-0330

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1669670329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LAUREL ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAUREL ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703919",
            "telephone_number": "415-297-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-04",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "CHING",
        "authorized_official_first_name": "ALTON",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "415-297-5840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OMT, MS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 23582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.