Raziel Elohima-Rizzo Brisbane, DPT
Individual provider Active NPI Physical Therapy Clinic/Center · Los Altos, CA
NPI 1699461582 · NPPES record last updated Apr 13, 2023
Key facts
- NPI
- 1699461582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 300019 (CA)
- Practice address
- 240 2ND St
Los Altos, CA 94022-3603 - Phone
- (650) 941-7600
- NPI assigned
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolution Physical Therapy, Inc | Current |
Accepting new patients | |
| Next Phase Medical PC | Physical Therapy | Current |
Accepting new patients |
Locations
11825 Major St
Ste 107
Los Angeles, CA 90230
Phone (310) 915-6100
322 Culver Blvd
Playa del Rey, CA 90293
Phone (310) 461-8712
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 300019 | CA | Yes |
Addresses
Primary practice location
240 2ND St
Los Altos, CA 94022-3603
Mailing address
1317 S Mayfair Ave
Daly City, CA 94015-3738
Other providers in Los Altos, CA
- Diana Bonner
- Judith Anne Boore
- Lourdes Bella Lareza Bourdon
- Breathe Holistic Health, Inc.
- Theresa Dagondon Brinkman
- Kevin Doyle Brock
- Ryan Canaan Broms
- Mara Lenox Bronstein
- Lloyd Brown
- Peter Watson Brown
All providers in Los Altos, 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 Apr 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.