Organization Active NPI

Oral Motor Physical Therapy, PC

  • Physical Therapist
  • San Carlos, CA
National Provider Identifier
1982463337
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORAL MOTOR PHYSICAL THERAPY, PC
Practice address
608 Bayport Ave
San Carlos, CA 94070-3202
Phone
(650) 336-5658
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Dr. Ashley SommersNPI 1255888483
Title
Ceo
Phone
(650) 336-5658

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 1

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

Addresses

Primary practice location

608 Bayport Ave
San Carlos, CA 94070-3202

Mailing address

608 Bayport Ave
San Carlos, CA 94070-3202

Other names 1

  • Sommers Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

608 Bayport Ave
San Carlos, CA 94070
Phone (650) 239-0832

Practitioners & affiliated clinicians

Practitioners 1

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": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1982463337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 BAYPORT AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 BAYPORT AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703202",
            "telephone_number": "650-336-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL MOTOR PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "SOMMERS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-336-5658",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sommers Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.