All Systems Health Physical Therapy, PC

Organization Active NPI Physical Therapy Clinic/Center · San Carlos, CA

NPI 1740906320 · NPPES record last updated Mar 17, 2024

Key facts

NPI
1740906320
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
Legal business name
ALL SYSTEMS HEALTH PHYSICAL THERAPY, PC
Practice address
608 Bayport Ave
San Carlos, CA 94070-3202
Phone
(989) 798-6644
NPI assigned
Oct 17, 2022
Organization subpart
No

Authorized official

Name
Dr. Joseph Micheal Cicinelli, DPT NPI 1437519071
Title
Ceo/Physical Therapist
Phone
(650) 239-0832

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X
Physical Therapy Clinic/Center 261QP2000X Yes

Addresses

Primary practice location

608 Bayport Ave
San Carlos, CA 94070-3202

Mailing address

608 Bayport Ave
San Carlos, CA 94070-3202
Phone (650) 239-0832

Electronic endpoints

TypeEndpointUseAffiliation
Other URL allsystemshealthpt@gmail.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2024.

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710633600000",
    "number": "1740906320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 BAYPORT AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703202",
            "telephone_number": "650-239-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 BAYPORT AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703202",
            "telephone_number": "989-798-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SYSTEMS HEALTH PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "CICINELLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "CEO/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "650-239-0832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "allsystemshealthpt@gmail.com",
            "affiliation": "N",
            "address_1": "608 Bayport Ave",
            "city": "San Carlos",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940703202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Carlos, CA

All providers in San Carlos, CA · Physical Therapy Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.