PHYSICAL THERAPY OF LOS GATOS (NPI# 1114063153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114063153 |
| Entity Type | Organization |
| Organization Name | PHYSICAL THERAPY OF LOS GATOS |
| Practice Address |
15047 Los Gatos Boulevard Suite 180 Los Gatos CA 95032-2054 |
| Practice Telephone | 4083586505 |
| Practice Fax Number | 4083586404 |
| Mailing Telephone | 4083586505 |
| Mailing Fax Number | 4083586404 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT IRWIN NABER (PRESIDENT CEO) |
| Authorized Official Telephone | 4083586505 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT12257 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
15047 LOS GATOS BOULEVARD SUITE 180 |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730157 | Stephanie Chui | Optometrist | 15055 Los Gatos Blvd Ste 300, Los Gatos, CA 95032 | 2018-05-16 |
| 1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
| 1235652934 | Nillofar Tabibi | Pharmacist | 1496 Pollard Road, Los Gatos, CA 95032 | 2017-07-25 |
| 1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
| 1942755418 | Michelle Sunalp | Physician Assistant | 14830 Los Gatos Blvd, Suite 300, Los Gatos, CA 95032 | 2016-08-24 |
| 1295196640 | Mandice Williams | Chiropractor | 236 Oak Meadow Dr, Los Gatos, CA 95032 | 2016-03-14 |
| 1922465020 | Los Gatos Dental Specialists | Dentist | 15075 Los Gatos Blvd, Ste 120, Los Gatos, CA 95032 | 2016-01-20 |
| 1962881813 | Los Gatos Snf, LLC | Skilled Nursing Facility | 16605 Lark Ave., Los Gatos, CA 95032 | 2015-05-26 |
| 1720404312 | Jonathan Davies | Physician Assistant | 15466 Los Gatos Blvd Ste 109-353, Los Gatos, CA 95032 | 2014-03-06 |
| 1588002612 | Jessica Velasco Gutierrez | Licensed Vocational Nurse | 634 W Parr Ave #116, Los Gatos, CA 95032 | 2013-06-11 |
| Find all providers in zip 95032 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930055 | Vidya Devarapalli | Physical Therapist | 14901 National Ave Ste 102, Los Gatos, CA 95032-2637 | 2017-08-30 |
| 1669592879 | Ariel Marvin Lehaitre | Physical Therapist | 15047 Los Gatos Blvd Ste 180, Los Gatos, CA 95032-2054 | 2007-03-30 |
| 1174841803 | Kristina M Lagana | Physical Therapist | 15405 Los Gatos Blvd, Suite 101, Los Gatos, CA 95032-2500 | 2010-05-05 |
| 1508006891 | Rebecca Mae Robinson | Physical Therapist | 555 Knowles Dr, Suite 100, Los Gatos, CA 95032-1549 | 2009-02-25 |
| 1891993556 | Denise Marie Alberto | Physical Therapist | 15055 Los Gatos Blvd, Suite 205, Los Gatos, CA 95032-2083 | 2007-07-04 |
| 1508074782 | Taral Patel | Physical Therapist | 14901 National Ave, Los Gatos, CA 95032-2637 | 2007-05-19 |
| 1023130713 | Lawrence Zale Yee | Physical Therapist | 15047 Los Gatos Blvd, Suite 180, Los Gatos, CA 95032-2054 | 2007-04-04 |
| 1306966452 | Robert Irwin Naber | Physical Therapist | 15047 Los Gatos Blvd, Suite 180, Los Gatos, CA 95032-2054 | 2007-03-30 |
| 1063550655 | Susanne Goade Vertin | Physical Therapist | 777 Knowles Dr, Suite 10, Los Gatos, CA 95032-1417 | 2007-02-03 |
| 1164590220 | Ross M Nakaji | Physical Therapist | 15100 Los Gatos Blvd, Suite 1, Los Gatos, CA 95032-2028 | 2006-11-30 |
| Find all providers in LOS GATOS | ||||
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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.