Active NPI
Maureen Lipa
- Physical Therapist
- Los Alto, CA
National Provider Identifier
1730209222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1000 Fremont Ave
108
Los Alto, CA 94024 - Phone
- (650) 947-8500
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1000 Fremont Ave
108
Los Alto, CA 94024
Mailing address
4077 Solana Dr
Palo Alto, CA 94306-3167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10972 | Other | CA | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10972 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiofit Physical Therapy & Wellness, P.C. | Physical Therapist | Past | Accepting new patients |
| Kimberly Gladfelter | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Physiofit Physical Therapy
- Physical Therapy Clinic/Center
- Los Altos, CA
- NPI 1881650505
-
- Orthopedic Physical Therapist
- Los Altos, CA
- NPI 1326549965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1730209222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4077 SOLANA DR",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943063167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 FREMONT AVE",
"address_2": "108",
"city": "LOS ALTO",
"state": "CA",
"postal_code": "94024",
"telephone_number": "650-947-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPA",
"first_name": "MAUREEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "10972",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.