Organization Active NPI

Spine and Sports Medicine Institute, Inc.

  • Physical Therapist
  • Concord, CA
National Provider Identifier
1942226758
Registry record updated Mar 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPINE AND SPORTS MEDICINE INSTITUTE, INC.
Practice address
2600 Stanwell Dr
Suite 104
Concord, CA 94520-4862
Phone
(925) 686-5400
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2014

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

Authorized official

Name
Mrs. Jessica Driscoll
Title
Office Manager
Phone
(925) 686-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2600 Stanwell Dr
Suite 104
Concord, CA 94520-4862

Mailing address

2600 Stanwell Drive
Suite 104
Concord, CA 94520-4862
Phone (925) 686-5400

National Provider Directory

National Provider Directory

Locations

2600 Stanwell Dr
Ste 104
Concord, CA 94520
Phone (925) 686-5400

2525 Stanwell Dr
Ste 200
Concord, CA 94520
Phone (925) 686-5400

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394841600000",
    "number": "1942226758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 STANWELL DRIVE",
            "address_2": "SUITE 104",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204862",
            "telephone_number": "925-686-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 STANWELL DR",
            "address_2": "SUITE 104",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204862",
            "telephone_number": "925-686-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND SPORTS MEDICINE INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-03-15",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-686-5400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2014; 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.