NPIMap

Organization Active NPI

San Ramon Valley Physical Therapy

  • Physical Therapy Clinic/Center
  • Danville, CA
National Provider Identifier
1972984938
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
41997 Issued in CA
Legal business name
SAN RAMON VALLEY PHYSICAL THERAPY
Practice address
380 Diablo Rd
Suite 201
Danville, CA 94526-3461
Phone
(925) 552-5787
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Derek Vandersloot, PTNPI 1699835801
Title
Physical Therapist
Phone
(925) 552-5787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 41997 CA Primary

Addresses

Primary practice location

380 Diablo Rd
Suite 201
Danville, CA 94526-3461

Mailing address

380 Diablo Rd
Suite 201
Danville, CA 94526-3461

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1972984938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 DIABLO RD",
            "address_2": "SUITE 201",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 DIABLO RD",
            "address_2": "SUITE 201",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263461",
            "telephone_number": "925-552-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN RAMON VALLEY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "VANDERSLOOT",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "925-552-5787",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "41997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.