INSTITUTE OF PHYSICAL THERAPY AND PELVIC HEALTH INC (NPI# 1609477439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609477439 |
| Entity Type | Organization |
| Organization Name | INSTITUTE OF PHYSICAL THERAPY AND PELVIC HEALTH INC |
| Practice Address |
425 Portage Ave Ste A Palo Alto CA 94306-2213 |
| Mailing Address |
4220 Wilkie Way Palo Alto CA 94306-4430 |
| Practice Telephone | 6509354711 |
| Mailing Telephone | 2155302128 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | DR. SERENA BRUCKMAN (PRESIDENT, DIRECTOR, OWNER) |
| Authorized Official Telephone | 2155302128 |
| Authorized Official Credential | PT, DPT, NCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Institute of Physical Therapy & Pelvic Health | Other Name - Individual/Organization |
| Institute of Physical Therapy and Pelvic Health | Other Name - Individual/Organization |
| Street Address |
425 PORTAGE AVE STE A |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94306-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477862175 | Serena Cheung Bruckman | Physical Therapist | 425 Portage Ave Ste A, Palo Alto, CA 94306-2213 | 2010-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126538 | Vasily Salov | Massage Therapist | 2313 Park Blvd, Palo Alto, CA 94306 | 2020-08-25 |
| 1568982569 | Shian Hong | Registered Nurse | 270 Grant Avenue, Palo Alto, CA 94306 | 2017-06-21 |
| 1386092229 | Woo Jung Park | Acupuncturist | 4290 Wilkie Way #c, Palo Alto, CA 94306 | 2016-06-01 |
| 1225442205 | Keiko Gill | Chiropractor | 480 California Ave Ste 103, Palo Alto, CA 94306 | 2014-06-17 |
| 1093147092 | Thuy Nguyen | Optometrist | 109 California Ave Ste D101a, Palo Alto, CA 94306 | 2013-08-01 |
| 1750685293 | Erica Mikhli | Physician Assistant | 300 Pasteur Drive Cvrb 2nd Floor, Stanford, CA 94306 | 2010-12-24 |
| 1225262553 | Rina Biren Shah | Family Medicine | 270 Grant Ave., Mayview Community Health Center, Palo Alto, CA 94306 | 2009-05-14 |
| 1669640173 | Leah Zialcita | Physical Therapist | 2345 Yale Street, Palo Alto, CA 94306 | 2008-02-19 |
| 1578761631 | Mary June Asenathe Wagner | Dentist | 1795 El Camino Real #100, Palo Alto, CA 94306 | 2007-07-10 |
| 1972628923 | Lillian Landsman Burt | Social Worker | 2 Roosevelt Circle, Palo Alto, CA 94306 | 2007-03-20 |
| Find all providers in zip 94306 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942375878 | Santa Clara County Ccs | Clinic/Center | 638 Maybell Ave, Palo Alto, CA 94306-3815 | 2006-11-24 |
| 1659445443 | Agile Physical Therapy Inc | Clinic/Center | 2450 El Camino Real, Suite 101, Palo Alto, CA 94306-1706 | 2006-11-20 |
| 1992829253 | Trudi Heneweer Trygg and Karen Gross Fujimoto Physical Therapists, Inc | Clinic/Center | 401 Lambert Ave, Palo Alto, CA 94306-2220 | 2007-03-19 |
| 1205973559 | Backtofitness | Clinic/Center | 744 San Antonio Rd Ste 3, Palo Alto, CA 94303 | 2007-01-30 |
| 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 | ||||
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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.