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OPTM SPORTS & PHYSICAL THERAPY INC NPI 1578534194


NPI Information

NPI: 1578534194
Provider Name: OPTM SPORTS & PHYSICAL THERAPY, INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
291 E MAIN ST
SUITE E
LOS GATOS, CA
ZIP 95030
Phone: (408) 354-2223
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OPTM SPORTS & PHYSICAL THERAPY, INC is a specialist in Los Gatos, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OPTM SPORTS & PHYSICAL THERAPY, INC NPI is 1578534194. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

291 E MAIN ST
SUITE E
LOS GATOS, CA
ZIP 95030-137
Phone: (408) 354-2223
Fax: (408) 354-2228

The provider's authorized official is Paul L Christensen .
The authorized official title is Therapist/owner and has the following contact phone number (408) 354-2223.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 12/5/2007.


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
1174400000XSpecialistCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Y01889MEDICARE UPINCALIFORNIA
2ZZZ27713ZMEDICARE PINCALIFORNIA

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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