California Sports Physical Therapy Centers Inc
Organization Active NPI Physical Therapist · Albany, CA
NPI 1891472965 · NPPES record last updated Jun 6, 2024
Key facts
- NPI
- 1891472965
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- CALIFORNIA SPORTS PHYSICAL THERAPY CENTERS INC
- Practice address
- 948 San Pablo Ave
Albany, CA 94706-2010 - Phone
- (510) 526-2353
- Fax
- (510) 526-2022
- NPI assigned
- Jun 30, 2023
- Organization subpart
- No
Authorized official
- Name
- Robert Pace
- Title
- Coo
- Phone
- (213) 804-1712
Other NPIs on the same Medicare enrollment 10
Corporate family (same tax ID) 9
Practitioners 66
-
Richa Arora, PT
-
Brandon Brown, P.T.
-
Franklin Charles Dill, P.T.
-
Ariell Gross, DPT
-
Tyler Scott Hawes, DPT
-
Derick Haywood Jr., DPT
-
Spencer James Hino, PT, DPT
-
Connie Lynn Hua, DPT
-
Dennis James Ingram, PHYSICAL THERAPIST
-
Hannah Marie Kiggans, PT, DPT
-
Brent Kobs, PT, DPT
-
Christina Noelle Lee, PT, DPT
-
Ryann Lewis, DPT
-
Chelsea P. Marcelle, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050707001097 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7618956889 |
Receives reassigned benefits from 63 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Monterey, CA; Walnut Creek, CA; Tracy, CA; Stockton, CA; San Ramon, CA; Rocklin, CA; Manteca, CA; Lodi, CA… |
National Provider Directory
- Tax ID family
- California Rehabilitation and Sports Therapy
Locations
2711 Lone Tree Way
Antioch, CA 94509
Phone (800) 929-4776
1333 Willow Pass Rd
Ste 110
Concord, CA 94520
Phone (925) 676-7431
1640 W Yosemite Ave
Ste 1
Manteca, CA 95337
Phone (209) 267-6080
101 Wilson Rd
Ste C
Monterey, CA 93940
Phone (831) 375-1885
871 Cass St
Monterey, CA 93940
Phone (831) 373-0296
333 Hegenberger Rd
Ste 250
Oakland, CA 94621
Phone (510) 568-2201
2230 Gladstone Dr
Pittsburg, CA 94565
Phone (925) 427-5155
350 Bollinger Canyon Ln
Ste A
San Ramon, CA 94582
Phone (925) 735-6414
5910 Pacific Ave
Stockton, CA 95207
Phone (209) 475-1000
2792 Naglee Rd
Tracy, CA 95304
Phone (209) 433-6510
548 W Eaton Ave
Tracy, CA 95376
Phone (209) 836-4765
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
948 San Pablo Ave
Albany, CA 94706-2010
Mailing address
2600 Dallas Pkwy Ste 290
Frisco, TX 75034-7493
Phone (945) 260-0010
Other names
- Albany Physical Therapy
Other providers in Albany, CA
- Lillie Brum
- Mary Bunzel
- Ada Burko
- Rebecca Burns
- Jenifer Butler
- Amanda Beth Campbell
- Wil Cason
- Carla Cassler
- Keith Castaneto
- Chana Jessica Ceasar
All providers in Albany, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.