NPIMap

Organization Active NPI

Golden Gate Physical Therapy

  • Physical Therapy Clinic/Center
  • San Francisco, CA
National Provider Identifier
1700816691
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 25031 Issued in CA
Legal business name
GOLDEN GATE PHYSICAL THERAPY
Practice address
1801 Bush St Ste 200
San Francisco, CA 94109
Phone
(415) 776-1646
Fax
(415) 776-1964
NPI assigned
Jul 4, 2006
Last updated
Jul 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Rhonda Hoang
Title
Admin
Phone
(415) 776-1646

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT9854 CA
Physical Therapy Clinic/Center 261QP2000X PT 25031 CA Primary

Addresses

Primary practice location

1801 Bush St Ste 200
San Francisco, CA 94109

Mailing address

1801 Bush St Ste 200
San Francisco, CA 94109-5296
Phone (415) 776-1646

Other identifiers 1

IdentifierTypeStateIssuer
196923400OtherCAACS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050119000981 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2860441581 Receives reassigned benefits from 8 practitioners
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

1 Daniel Burnham Ct
Ste 325C
San Francisco, CA 94109
Phone (415) 776-1646

1801 Bush St
Ste 200
San Francisco, CA 94109
Phone (415) 776-1646

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1700816691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BUSH ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095296",
            "telephone_number": "415-776-1646",
            "fax_number": "415-776-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 BUSH ST STE 200",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94109",
            "telephone_number": "415-776-1646",
            "fax_number": "415-776-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GATE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "415-776-1646"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT9854",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 25031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS",
            "identifier": "196923400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.