NPIMap

Organization Active NPI

Silver Creek Physical Therapy Gilroy

Doing business as Silver Creek Physical Therapy

  • Physical Therapist
  • Gilroy, CA
National Provider Identifier
1972630838
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SILVER CREEK PHYSICAL THERAPY GILROY
Doing business as
Silver Creek Physical Therapy
Practice address
1395 First St
Ste 100
Gilroy, CA 95020-3876
Phone
(408) 846-6000
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Mr. Jonn Randall Waltz, MPT
Title
Ceo
Phone
(408) 841-7203

Specialties & licenses 1

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

Addresses

Primary practice location

1395 First St
Ste 100
Gilroy, CA 95020-3876

Mailing address

1395 First St
Ste 100
Gilroy, CA 95020-3876
Phone (408) 846-6000

Other names 1

  • Silver Creek Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1395 1st St
Ste 100
Gilroy, CA 95020
Phone (408) 703-8582

1395 1st St
Gilroy, CA 95020
Phone (408) 846-6000

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1972630838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 FIRST ST",
            "address_2": "STE 100",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203876",
            "telephone_number": "408-846-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 FIRST ST",
            "address_2": "STE 100",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203876",
            "telephone_number": "408-846-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK PHYSICAL THERAPY GILROY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "WALTZ",
        "authorized_official_first_name": "JONN",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-841-7203",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Creek Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.