Organization Active NPI

Pros in Rehab

  • Physical Therapist
  • Monte Sereno, CA
National Provider Identifier
1992890388
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
163580 Issued in CA
Legal business name
PROS IN REHAB
Practice address
17316 Zena Avenue
Monte Sereno, CA 95030
Phone
(498) 489-3846
Fax
(408) 399-7054
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Ms. Jyoti Saboo, MSPTNPI 1417180936
Title
President Physical Therapist
Phone
(408) 489-3846

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: 193200000X MULTI-SPECIALTY GROUP 225100000X 163580 CA Primary

Addresses

Primary practice location

17316 Zena Avenue
Monte Sereno, CA 95030

Mailing address

17316 Zena Avenue
Monte Sereno, CA 95030
Phone (498) 489-3846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060309000291 CA Part B Supplier - Clinic/Group Practice 1456368844 Receives reassigned benefits from 2 practitioners
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

1101 S Winchester Blvd
Ste L237
San Jose, CA 95128
Phone (408) 399-7054

4010 Moorpark Ave
Ste 110
San Jose, CA 95117
Phone (408) 399-7054

Practitioners & affiliated clinicians

Practitioners 4

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1992890388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17316 ZENA AVENUE",
            "city": "MONTE SERENO",
            "state": "CA",
            "postal_code": "95030",
            "telephone_number": "498-489-3846",
            "fax_number": "408-399-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17316 ZENA AVENUE",
            "city": "MONTE SERENO",
            "state": "CA",
            "postal_code": "95030",
            "telephone_number": "498-489-3846",
            "fax_number": "408-399-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROS IN REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "SABOO",
        "authorized_official_first_name": "JYOTI",
        "authorized_official_title_or_position": "PRESIDENT PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "408-489-3846",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "163580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monte Sereno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.