NPIMap

Organization Active NPI

Starfish Physical Therapy Inc.

  • Pediatric Physical Therapist
  • San Francisco, CA
National Provider Identifier
1982881959
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
26533 Issued in CA
Legal business name
STARFISH PHYSICAL THERAPY INC.
Practice address
1405 Van Ness Ave
204
San Francisco, CA 94109-4645
Phone
(415) 346-3853
Fax
(415) 563-3545
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Miss Stacy Marie Menz, D.P.TNPI 1568636447
Title
Owner/Physical Therapist
Phone
(415) 346-3853

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)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 26533 CA Primary
Home Health Agency 251E00000X 26533 CA

Addresses

Primary practice location

1405 Van Ness Ave
204
San Francisco, CA 94109-4645

Mailing address

1405 Van Ness Ave
204
San Francisco, CA 94109-4645
Phone (415) 346-3853

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1982881959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 VAN NESS AVE",
            "address_2": "204",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094645",
            "telephone_number": "415-346-3853",
            "fax_number": "415-563-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 VAN NESS AVE",
            "address_2": "204",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094645",
            "telephone_number": "415-346-3853",
            "fax_number": "415-563-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "MENZ",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "415-346-3853",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.P.T"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "26533",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "26533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.