Advanced Physical Therapy & Ergonomics Inc
Organization Active NPI Physical Therapy Clinic/Center · Pleasanton, CA
NPI 1699030239 · NPPES record last updated Jun 13, 2013
Key facts
- NPI
- 1699030239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 18170 (CA)
- Legal business name
- ADVANCED PHYSICAL THERAPY & ERGONOMICS INC
- Practice address
- 3128 Santa Rita Rd
Suite B
Pleasanton, CA 94566-8300 - Phone
- (925) 222-3195
- Fax
- (925) 891-7870
- NPI assigned
- Jul 10, 2012
- Organization subpart
- No
Authorized official
- Name
- David George Turner, PT, ATC
- Title
- Owner
- Phone
- (925) 222-3195
Practitioners 7
-
Andrew William Hodge, PT, DPT
-
David G Turner, PT, ATC
-
Desiree Blaire Bukovsky, P.T., DPT
-
Smita Jangid, PT
-
Calvin Kai-Yan Lee, DPT
-
Dale Woolley, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121029000191 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7810147873 |
Receives reassigned benefits from 5 practitioners Practice locations: Pleasanton, CA |
National Provider Directory
Locations
4133 Mohr Ave
Ste H
Pleasanton, CA 94566
Phone (925) 222-3195
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 18170 | CA | Yes |
Addresses
Primary practice location
3128 Santa Rita Rd
Suite B
Pleasanton, CA 94566-8300
Mailing address
3128 Santa Rita Rd
Suite B
Pleasanton, CA 94566-8300
Phone (925) 222-3195
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All providers in Pleasanton, CA · Physical Therapy Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2013. 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.