Telephysio Physical Therapy Incorporated

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TELEPHYSIO PHYSICAL THERAPY INCORPORATED

Practice address

51 Lochinvar Rd
San Rafael, CA 94901-2446

Phone

(415) 497-4841

NPI assigned

Oct 6, 2020

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Pierce Costa, PTNPI 1730586769

Title

President, Cfo, Secretary

Phone

(415) 497-4841

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Pierce Costa, PT

  • Physical Therapist
  • San Rafael, CA
  • NPI 1730586769
  NPD Authorized official

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1972100592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 LOCHINVAR RD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012446",
            "telephone_number": "415-497-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 LOCHINVAR RD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012446",
            "telephone_number": "415-497-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEPHYSIO PHYSICAL THERAPY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2023-09-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "PIERCE",
        "authorized_official_title_or_position": "PRESIDENT, CFO, SECRETARY",
        "authorized_official_telephone_number": "415-497-4841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia V Tedeschi, M.D.
• Peter J. Teichman, MD
• Alan Teitelbaum, M.D.
• Albert John Teixeira
• Ana Martha Tejeda, AUD
• Radka Varimezova Temnitzer, DDS
• Page Tenley, PA-C
• Eric F. Tepper, MD
• Linda Terada-Yamamoto, PHARMD
• Carol Tereszkiewicz, MD

• Physical Therapist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.