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PENINSULA SPINE EDUCATION &TREATMENT CENTER NPI 1528168218


NPI Information

NPI: 1528168218
Provider Name: PENINSULA SPINE EDUCATION &TREATMENT CENTER
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
424 N SAN MATEO DR
100
SAN MATEO, CA
ZIP 94401
Phone: (650) 348-5112
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PENINSULA SPINE EDUCATION &TREATMENT CENTER is an orthopedic physical therapist in San Mateo, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. PENINSULA SPINE EDUCATION &TREATMENT CENTER NPI is 1528168218. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

424 N SAN MATEO DR
100
SAN MATEO, CA
ZIP 94401-491
Phone: (650) 348-5112

The provider's authorized official is Carol Ann Ludwig .
The authorized official title is Physical Therapist/partner and has the following contact phone number (650) 348-5112.

The enumeration date for this NPI number is 9/23/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedicCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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