NPIMap

Organization Active NPI

Silver Creek Physical Therapy Sunnyvale

Doing business as Silver Creek Physical Theray

  • Physical Therapist
  • Sunnyvale, CA
National Provider Identifier
1760741722
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36199 Issued in CA
Legal business name
SILVER CREEK PHYSICAL THERAPY SUNNYVALE
Doing business as
Silver Creek Physical Theray
Practice address
500 E Remington Dr
Ste 10
Sunnyvale, CA 94087-2657
Phone
(408) 289-3600
NPI assigned
May 11, 2012
Last updated
Nov 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Mr. John Randall Waltz, MPTNPI 1518926179
Title
Owner
Phone
(408) 841-7203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 36199 CA Primary

Addresses

Primary practice location

500 E Remington Dr
Ste 10
Sunnyvale, CA 94087-2657

Mailing address

4205 San Felipe Rd
Ste 100
San Jose, CA 95135-1503
Phone (408) 238-1552

Other names 1

  • Silver Creek Physical Theray Doing business as

National Provider Directory

National Provider Directory

Locations

500 E Remington Dr
Ste 10
Sunnyvale, CA 94087
Phone (408) 289-3600

500 E Remington Dr
Ste 1E
Sunnyvale, CA 94087
Phone (408) 389-3600

Practitioners & affiliated clinicians

Practitioners 3

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": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1760741722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 SAN FELIPE RD",
            "address_2": "STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351503",
            "telephone_number": "408-238-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E REMINGTON DR",
            "address_2": "STE 10",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872657",
            "telephone_number": "408-289-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK PHYSICAL THERAPY SUNNYVALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "WALTZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-841-7203",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Creek Physical Theray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.