NPIMap

Organization Active NPI

East Bay Physical Therapy, Inc.

  • Physical Therapist
  • Antioch, CA
National Provider Identifier
1750592044
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19723 Issued in CA
Legal business name
EAST BAY PHYSICAL THERAPY, INC.
Practice address
2339 Buchanan Rd
Antioch, CA 94509-4402
Phone
(925) 777-0964
Fax
(925) 777-1120
NPI assigned
May 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Matthew Michael Scerri, BACHELOR OF SCIENCENPI 1861973216
Title
Administrator
Phone
(510) 222-8080

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12835 CA
Physical Therapist 225100000X 22298 CA
Physical Therapist 225100000X 19723 CA Primary

Addresses

Primary practice location

2339 Buchanan Rd
Antioch, CA 94509-4402

Mailing address

1301 Hilltop Mall Rd
B101
Richmond, CA 94806-1911
Phone (510) 222-8080

National Provider Directory

National Provider Directory
Tax ID family
East Bay Physical Therapy2 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

2339 Buchanan Rd
Antioch, CA 94509
Phone (925) 777-0964

1301 Hilltop Mall Rd
#B101
Richmond, CA 94806
Phone (510) 222-8080

Practitioners & affiliated clinicians

Practitioners 4

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750592044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 HILLTOP MALL RD",
            "address_2": "B101",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061911",
            "telephone_number": "510-222-8080",
            "fax_number": "510-222-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 BUCHANAN RD",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094402",
            "telephone_number": "925-777-0964",
            "fax_number": "925-777-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCERRI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-222-8080",
        "authorized_official_credential": "BACHELOR OF SCIENCE"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "12835",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22298",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "19723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.