Organization Active NPI

Sever Effectiveness Strategies Inc

Doing business as Mark Sever Physical Therapy

  • Physical Therapy Clinic/Center
  • Forestville, CA
National Provider Identifier
1790055036
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT11388 Issued in CA
Legal business name
SEVER EFFECTIVENESS STRATEGIES INC
Doing business as
Mark Sever Physical Therapy
Practice address
6478 Mirabel Road
Forestville, CA 95436-1483
Phone
(707) 887-0185
Fax
(707) 887-1681
NPI assigned
Jan 4, 2012
Last updated
Jan 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Mr. Mark Joseph Sever, PTNPI 1972662278
Title
Secretary
Phone
(707) 887-0185

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 Therapy Clinic/Center 261QP2000X PT11388 CA Primary

Addresses

Primary practice location

6478 Mirabel Road
Forestville, CA 95436-1483

Mailing address

PO Box 1483
Forestville, CA 95436-1483
Phone (707) 887-0185

Other names 1

  • Mark Sever Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

6478 Mirabel Rd
Forestville, CA 95436
Phone (707) 887-0185

Practitioners & affiliated clinicians

Practitioners 1

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": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1790055036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1483",
            "city": "FORESTVILLE",
            "state": "CA",
            "postal_code": "954361483",
            "telephone_number": "707-887-0185",
            "fax_number": "707-887-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6478 MIRABEL ROAD",
            "city": "FORESTVILLE",
            "state": "CA",
            "postal_code": "954361483",
            "telephone_number": "707-887-0185",
            "fax_number": "707-887-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVER EFFECTIVENESS STRATEGIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "SEVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "707-887-0185",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT11388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Sever Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forestville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.