SPORTS AND ORHTOPEDIC LEADERS PHYSICAL THERAPY, INC. (NPI# 1073788063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073788063 |
| Entity Type | Organization |
| Organization Name | SPORTS AND ORHTOPEDIC LEADERS PHYSICAL THERAPY, INC. |
| Other Organization Name | SEABRIGHT SS PHYSICAL THERAPY |
| Practice Address |
1510 Seabright Ave Santa Cruz CA 95062-2529 |
| Mailing Address |
Po Box 3649 Oakland CA 94609-0649 |
| Practice Telephone | 8314253588 |
| Practice Fax Number | 8314253538 |
| Mailing Telephone | 8314253588 |
| Mailing Fax Number | 8314253538 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2010-01-05 |
| Authorized Official Name | DR. TAMMARA J. MOORE (OWNER- PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8314253588 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT 15427 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Seabright SS Physical Therapy | Former Legal Business Name - Organization |
| Street Address |
1510 SEABRIGHT AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003927344 | Karen Kane Roitz | Chiropractor | 1510 Seabright Ave, Santa Cruz, CA 95062-2529 | 2006-08-31 |
| 1962762245 | Cristina Diaz Martinez | Chiropractor | 1510 Seabright Ave, Santa Cruz, CA 95062-2529 | 2012-05-21 |
| 1396070660 | Christopher Patrick Taquino | Physical Therapist | 1510 Seabright Ave, Santa Cruz, CA 95062-2529 | 2009-10-05 |
| 1245565670 | Lisa Michelle Gibson | Physical Therapist | 1510 Seabright Ave, Santa Cruz, CA 95062-2529 | 2009-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316417603 | Matthew Davis | Clinic/Center | 8030 Soquel Ave Ste 200, Santa Cruz, CA 95062-2096 | 2018-11-29 |
| 1275047979 | Carlo Sicat | Clinic/Center | 1003 River St Ste C, Santa Cruz, CA 95060-1754 | 2017-11-17 |
| 1902198765 | Dewitt Physical Therapy, Inc | Clinic/Center | 4125 Portola Dr, Santa Cruz, CA 95062-4525 | 2011-05-11 |
| 1841437449 | Precision Physical Therapy & Fitness | Clinic/Center | 9000 Soquel Ave, Suite 103, Santa Cruz, CA 95062-2097 | 2009-01-19 |
| 1629238191 | Premier Sports Medicine and Physical Therapy | Clinic/Center | 1003 River St, Suite C, Santa Cruz, CA 95060-1754 | 2008-06-09 |
| 1306033287 | Jon David Schumacher | Clinic/Center | 548 Ocean St, Santa Cruz, CA 95060-6602 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
| 1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
| 1992303275 | Vw Physical Therapy, Inc. | Clinic/Center | 100 Saybrook Ave, Vacaville, CA 95687-4129 | 2020-10-09 |
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
| 1902403041 | Jha Geriatric Services, Inc | Clinic/Center | 12490 Fielding Circle, Suite 174, Playa Vista, CA 90094-3024 | 2020-10-01 |
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1285241786 | Rapid Recovery Physical Therapy Inc | Clinic/Center | 39807 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2020-09-28 |
| 1053928697 | Bonnie Laine Lasher | Clinic/Center | 33772 Copper Lantern St Apt C, Dana Point, CA 92629-6427 | 2020-09-28 |
| 1295340792 | Naum Physical Therapy PC | Clinic/Center | 11405 Fulbourn Ct, Rancho Cucamonga, CA 91730-8341 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.