Sports Therapy Associates Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPORTS THERAPY ASSOCIATES INC

Practice address

1545 Bayshore Hwy
Burlingame, CA 94010-1602

Phone

(650) 692-5633

Fax

(650) 692-8497

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Davis Mutto, P.T.

Title

Owner

Phone

(650) 692-5633

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Matthew Hall Smith, ATC, EMT

  • Athletic Trainer
  • Burlingame, CA
  • NPI 1851320220
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1801982905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 OLD BAYSHORE HWY",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101602",
            "telephone_number": "650-692-5633",
            "fax_number": "650-692-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 BAYSHORE HWY",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101602",
            "telephone_number": "650-692-5633",
            "fax_number": "650-692-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS THERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "MUTTO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-692-5633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaycie Speck, PT
• Nicole Kairee Spencer
• Tatiana Cephia Latier Spencer
• Christian Spies, M.D.
• Kellie Spine, RN
• Zoe Springer
• Peter Charles Squellati, D.P.M.
• Tamra Stager
• Stay Home Care, Inc
• Steadfast Care Providers, Inc

• Physical Therapist in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.