Active NPI
Pacific Rim Rehabilitation Center
- Physical Therapist
- San Jose, CA
National Provider Identifier
1952428443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22207
- Legal business name
- PACIFIC RIM REHABILITATION CENTER
- Practice address
- 55 N 13TH St
Suite a
San Jose, CA 95112-3528 - Phone
- (408) 436-5522
- Fax
- (408) 436-8777
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jinjian Chen
- Title
- Owner
- Phone
- (408) 436-5522
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC7085 | CA | |
| Physical Therapist | 225100000X | PT22207 | CA | Primary |
Addresses
Primary practice location
55 N 13TH St
Suite a
San Jose, CA 95112-3528
Mailing address
PO Box 4626
Mountain View, CA 94040-0626
Phone (408) 436-5522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040123000463 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6608778279 |
Receives reassigned benefits from 1 practitioner Practice locations: San Jose, CA |
National Provider Directory
National Provider DirectoryLocations
55 N 13th St
Ste A
San Jose, CA 95112
Phone (408) 295-2257
1715 Lundy Ave
Ste 132
San Jose, CA 95131
Phone (408) 436-5522
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- San Jose, CA
- NPI 1437277092
-
- Hand Occupational Therapist
- San Jose, CA
- NPI 1467597732
-
- Endocrinology, Diabetes & Metabolism Physician
- San Jose, CA
- NPI 1982702056
-
- Physical Therapist
- Clackamas, OR
- NPI 1790923852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604620800000",
"number": "1952428443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4626",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940400626",
"telephone_number": "408-436-5522",
"fax_number": "408-436-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 N 13TH ST",
"address_2": "SUITE A",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951123528",
"telephone_number": "408-436-5522",
"fax_number": "408-436-8777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC RIM REHABILITATION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "JINJIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-436-5522",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC7085",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT22207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.