Impact Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

0PT218960 Issued in CA

Legal business name

IMPACT PHYSICAL THERAPY, INC.

Practice address

3150 California St
Suite #3
San Francisco, CA 94115-2464

Phone

(415) 775-2319

Fax

(415) 775-0852

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Irina Nosova, P.T.

Title

Director, Physical Therapist

Phone

(415) 883-8323

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1851497440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 CALIFORNIA ST",
            "address_2": "SUITE #3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152464",
            "telephone_number": "415-775-2319",
            "fax_number": "415-775-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CALIFORNIA ST",
            "address_2": "SUITE #3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152464",
            "telephone_number": "415-775-2319",
            "fax_number": "415-775-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "NOSOVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "DIRECTOR, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "415-883-8323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "0PT218960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.