Corkish and Lew a Professional Physical Therapy Corporation
Organization Active NPI Physical Therapist · Millbrae, CA
NPI 1720274665 · NPPES record last updated Feb 25, 2011
Key facts
- NPI
- 1720274665
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT30278 (CA)
- Legal business name
- CORKISH AND LEW A PROFESSIONAL PHYSICAL THERAPY CORPORATION
- Practice address
- 39 El Camino Real
Millbrae, CA 94030-2603 - Phone
- (650) 697-2376
- NPI assigned
- Sep 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Geoffrey Lew, PT
- Title
- Owner
- Phone
- (650) 697-2376
Practitioners 17
-
Amanda Gabriella Ang, DPT
-
Daniel Corkish, PT
-
Cheryl C Estoesta, PHYSICAL THERAPY
-
Michelle Kay Ho, DPT
-
Yohanna Konardi, DPT
-
Lauren Theresa Lee, DPT
-
Geoffrey Lew, PT
-
Alvin Li, DPT
-
Portland E Logan, PT
-
Reyna Lubach, D.P.T.
-
Alan Gee Tang, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080213000697 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3375626336 |
Receives reassigned benefits from 11 practitioners Practice locations: Burlingame, CA; San Mateo, CA |
National Provider Directory
Locations
1555 Old Bayshore Hwy
Ste 100
Burlingame, CA 94010
Phone (650) 652-2376
1860 El Camino Real
Ste 420
Burlingame, CA 94010
Phone (650) 652-2376
39 El Camino Real
Millbrae, CA 94030
Phone (650) 697-2376
77 N San Mateo Dr
Ste 2
San Mateo, CA 94401
Phone (650) 343-5678
1941 Ofarrell St
Ste 115
San Mateo, CA 94403
Phone (650) 343-5678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | PT30278 | CA | Yes |
| Physical Therapist |
225100000X | PT29604 | CA |
Addresses
Primary practice location
39 El Camino Real
Millbrae, CA 94030-2603
Mailing address
PO Box 491689
Redding, CA 96049-1689
Other names
- Aero Physical Therapy & Sports Medicine
Other providers in Millbrae, CA
- Miranda Choy
- Chris Johns DDS Inc
- Carmen Chung
- Sara P Chung
- Karen Cooley
- Couture Movement, LLC
- Maria Valerie Pozon De Leon
- Dino Reginald De Ranieri
- Andrew Dela Cruz
- Delisa Health Inc.
All providers in Millbrae, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2011. 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.