PACIFIC COAST SPORTS & PHYSICAL THERAPY INC. (NPI# 1316970486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316970486 |
| Entity Type | Organization |
| Organization Name | PACIFIC COAST SPORTS & PHYSICAL THERAPY INC. |
| Practice Address |
1177 W San Carlos St San Jose CA 95126-3441 |
| Mailing Address |
9362 Crosby Ave Garden Grove CA 92844-1507 |
| Practice Telephone | 7144021112 |
| Practice Fax Number | 4089930381 |
| Mailing Telephone | 7144021112 |
| Mailing Fax Number | 4089930381 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JUSTIN TIEN LE (PRESIDENT) |
| Authorized Official Telephone | 7144021112 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT21215 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1177 W SAN CARLOS ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-3441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250668 | Nicholas Martinez | Physical Therapist | 1721 Technology Dr, San Jose, CA 95110-1305 | 2019-08-17 |
| 1124511423 | Sonia Saini | Physical Therapist | 3294 Pinkerton Dr, San Jose, CA 95148-2750 | 2018-06-11 |
| 1235638818 | Paul James Kidger | Physical Therapist | 1375 Blossom Hill Rd Ste 33, San Jose, CA 95118-3825 | 2018-02-08 |
| 1942218375 | Mark Alan Sasao | Physical Therapist | 3756 S Bascom Ave, San Jose, CA 95124-2662 | 2006-08-03 |
| 1144833435 | Dana Lindberg | Physical Therapist | 1375 Blossom Hill Rd Ste 33, San Jose, CA 95118-3825 | 2020-08-26 |
| 1457980906 | Enoch James Quon | Physical Therapist | 2145 The Alameda, San Jose, CA 95126-1141 | 2020-04-06 |
| 1598283368 | Tron Seth Hardy | Physical Therapist | 270 International Circle, Building 2 North 1st Floor Physical Therapy, San Jose, CA 95119 | 2017-08-31 |
| 1447463534 | Gina Basuino | Physical Therapist | 1530 Meridian Ave, Suite 150, San Jose, CA 95125-5350 | 2007-05-07 |
| 1669526463 | Stephania Leigh Bell | Physical Therapist | 270 International Cir, Building Two North, San Jose, CA 95119-1130 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
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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.