Neurosport Rehabilitation Associates

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NEUROSPORT REHABILITATION ASSOCIATES

Practice address

3905 Beacon Ave
Fremont, CA 94538-1405

Phone

(510) 792-3555

NPI assigned

Oct 21, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terry Ann Toth

Title

Supervisor

Phone

(510) 608-3614

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679563670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 COUNTRY DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365315",
            "telephone_number": "510-797-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 BEACON AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381405",
            "telephone_number": "510-792-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPORT REHABILITATION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOTH",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "510-608-3614"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID",
            "identifier": "ZZZ19979Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zohreh Nemat Parvizi
• Nicole Nemeth, MD
• Allurie Neri, R.N.
• Jason Dwayne Neufeld, D.P.M.
• Shubhechha Neupane, AG-ACNP
• Erika G Nevarez
• Mark Allen Neves, OTRL
• Robin E Neville, MSW
• Nelson R. Newberry, MD
• Luisa Newcomb

• Physical Therapist in Fremont, CA
• Providers in Fremont, CA by specialty
• Physical Therapist in California

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