Individual provider Active NPI

Olga Gleyzer

  • Physical Therapist
  • South San Francisco, CA
National Provider Identifier
1902271885
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43277 Issued in CA
Practice address
443 Grand Ave
South San Francisco, CA 94080-3635
Phone
(650) 588-9668
NPI assigned
Dec 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 43277 CA Primary

Addresses

Primary practice location

443 Grand Ave
South San Francisco, CA 94080-3635

Mailing address

443 Grand Ave
South San Francisco, CA 94080-3635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160202000470 CA Practitioner - Physical Therapist in Private Practice 5698079283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

1860 El Camino Real
Suite 201
Burlingame, CA 94010-3111
Phone (650) 259-8009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43277CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. CurrentSince Jul 19, 2022 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Select Cal Physical Therapy PC CurrentSince Apr 1, 2022 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist CurrentSince Jul 19, 2022 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients

Locations

1860 El Camino Real
Ste 201
Burlingame, CA 94010
Phone (650) 259-8009

1470 Civic Ct
Ste 320
Concord, CA 94520
Phone (925) 326-2211

9281 Office Park Cir
Ste 100
Elk Grove, CA 95758
Phone (916) 892-1330

2420 Martin Rd
Ste 380
Fairfield, CA 94534
Phone (707) 437-9001

10540 Talbert Ave
Ste 250W
Fountain Vly, CA 92708
Phone (714) 964-0727

4870 Barranca Pkwy
Ste 340
Irvine, CA 92604
Phone (949) 653-7878

10459 Mountain View Ave
Ste G
Loma Linda, CA 92354
Phone (909) 478-9508

360 Dardanelli Ln
Ste 1F
Los Gatos, CA 95032
Phone (408) 374-8823

929 Pacific St
Monterey, CA 93940
Phone (831) 373-1209

1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466

268 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 591-9581

6180 Brockton Ave
Ste 101
Riverside, CA 92506
Phone (951) 781-6653

1331 Medical Center Dr
Ste A
Rohnert Park, CA 94928
Phone (707) 584-3433

1700 California St
Ste 530
San Francisco, CA 94109
Phone (415) 921-1758

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

707 Lincoln Ctr
Stockton, CA 95207
Phone (209) 470-5101

16401 Magnolia St
Ste 108
Westminster, CA 92683
Phone (657) 271-2100

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1902271885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 GRAND AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 GRAND AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803635",
            "telephone_number": "650-588-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEYZER",
        "first_name": "OLGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.