NPIMap

Organization Active NPI

Baysport, Inc

  • Physical Therapist
  • Los Gatos, CA
National Provider Identifier
1699779140
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24147 Issued in CA
Legal business name
BAYSPORT, INC
Practice address
14675 Winchester Blvd
Los Gatos, CA 95032-1816
Phone
(408) 395-8851
Fax
(408) 395-8841
NPI assigned
Jun 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Mrs. Linda C. EmeryNPI 1588986194
Title
Vice President, Cfo
Phone
(408) 395-7300

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT24147 CA Primary

Addresses

Primary practice location

14675 Winchester Blvd
Los Gatos, CA 95032-1816

Mailing address

987 University Ave
Ste 12
Los Gatos, CA 95032-7640
Phone (408) 395-7300

National Provider Directory

National Provider Directory
Tax ID family
Baysport2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14675 Winchester Blvd
Los Gatos, CA 95032
Phone (408) 395-8851

987 University Ave
Ste 12
Los Gatos, CA 95032
Phone (408) 395-7300

Practitioners & affiliated clinicians

Practitioners 4

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": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1699779140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 UNIVERSITY AVE",
            "address_2": "STE 12",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327640",
            "telephone_number": "408-395-7300",
            "fax_number": "408-395-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14675 WINCHESTER BLVD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321816",
            "telephone_number": "408-395-8851",
            "fax_number": "408-395-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VICE PRESIDENT, CFO",
        "authorized_official_telephone_number": "408-395-7300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.