COLLIER REHABILITATION SYSTEMS (NPI# 1609934660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609934660 |
Entity Type | Organization |
Organization Name | COLLIER REHABILITATION SYSTEMS |
Practice Address |
3161 Putnam Blvd Pleasant Hill CA 94523-4650 |
Practice Telephone | 9259431119 |
Practice Fax Number | 9259432493 |
Mailing Telephone | 9259431119 |
Mailing Fax Number | 9259432493 |
Enumeration Date | 2006-12-04 |
Last Update Date | 2007-08-14 |
Authorized Official Name | MR. JOHN G RUSSELL JR. (PRESIDENT) |
Authorized Official Telephone | 9259431119 |
Authorized Official Credential | C.P.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | 0000026982 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDI-CAL | XB0009910 | 01 |
Street Address |
3161 PUTNAM BLVD |
City | PLEASANT HILL |
State | CA |
Zip Code | 94523-4650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326406463 | Brian Lee | Specialist | 3161 Putnam Blvd, Pleasant Hill, CA 94523-4650 | 2016-02-03 |
1427431824 | Michael Todd | Orthotic Fitter | 3161 Putnam Blvd, Pleasant Hill, CA 94523-4650 | 2015-07-02 |
1073995932 | Richard William Todd | Orthotic Fitter | 3161 Putnam Blvd, Pleasant Hill, CA 94523-4650 | 2015-06-26 |
1265850259 | Dennis Johnston | Orthotist | 3161 Putnam Blvd, Pleasant Hill, CA 94523-4650 | 2014-04-07 |
1689831885 | Castle Hill Holdings Inc | Prosthetic/Orthotic Supplier | 3161 Putnam Blvd, Pleasant Hill, CA 94523-4650 | 2008-05-16 |
1710175757 | James R Welch II | Orthotist | 3161 Putnam Blvd, Pleasant Hill, CA 94523-4650 | 2007-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881110823 | Paola M Portillo | Counselor | 3480 Buskirk Dr, St 210, Plesant Hill, CA 94523 | 2017-08-22 |
1508309113 | Seven Bridges Speech Pathology Inc | Speech-Language Pathologist | 140 Gregory Lane, Suite 280, Pleasant Hill, CA 94523 | 2016-11-30 |
1669856761 | Mikelle Waite Millward | Speech-Language Pathologist | 111 Cleaveland Rd Apt 102, Pleasant Hill, CA 94523 | 2015-07-17 |
1568870186 | Travel Well Corporation | Preventive Medicine | 3478 Buskirk Ave, Suite 1042, Pleasant Hill, CA 94523 | 2014-07-28 |
1700290962 | New Directions for Young Adults - California | Psychologist | 100 Longbrook Way, Ste. 20, Pleasant Hill, CA 94523 | 2014-06-16 |
1396161014 | Contra Costa Pathology Associates | Pathology | 399 Taylor Blvd Sw 200, Pleasant Hill, CA 94523 | 2014-03-06 |
1760822993 | Jessica Taylor Ysunza | Counselor | 267 Evelyn Drive, Pleasant Hill, CA 94523 | 2013-07-02 |
1558618306 | Kristina Foster Wunderman | Counselor | 272 Appalachian Dr, Pleasant Hill, CA 94523 | 2012-08-11 |
1376810028 | Patricia Murillo | Counselor | One Santa Barbara Rd, Pleasant Hill, CA 94523 | 2011-11-23 |
1265709257 | Marla Jaye Murray | Counselor | 315 Oakvue Lane, Pleasant Hill, CA 94523 | 2011-11-19 |
Find all providers in zip 94523 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467783761 | Elliott Pedorthic Care LLC | Prosthetic/Orthotic Supplier | 85084 Kensington Dr, Pleasant Hill, OR 97455-9621 | 2010-01-26 |
1689831885 | Castle Hill Holdings Inc | Prosthetic/Orthotic Supplier | 3161 Putnam Blvd, Pleasant Hill, CA 94523-4650 | 2008-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821696592 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 3031 W March Ln Ste 216w, Stockton, CA 95219-6500 | 2020-10-14 |
1871191742 | Alcam Medical Inc. | Prosthetic/Orthotic Supplier | 1244 N Mariposa St Ste 10, Fresno, CA 93703-3929 | 2020-10-13 |
1740887462 | A-z Consulting O & P Services | Prosthetic/Orthotic Supplier | 1133 Smith Ln Ste 5, Roseville, CA 95661-4131 | 2020-10-06 |
1255938452 | Sheek Hair Boutique | Prosthetic/Orthotic Supplier | 1432 N Cedar Ave Apt 107, Fresno, CA 93703-5303 | 2020-10-01 |
1922615368 | Inland Artificial Limb & Brace | Prosthetic/Orthotic Supplier | 1101 Bryan Ave Ste C, Tustin, CA 92780-4401 | 2020-09-29 |
1043823461 | Crystal Johnson | Prosthetic/Orthotic Supplier | 812 S Flower St Apt 4, Inglewood, CA 90301-7913 | 2020-08-25 |
1225640220 | Christopher Holloway | Prosthetic/Orthotic Supplier | 4517 Market St Ste 4, Ventura, CA 93003-7841 | 2020-08-20 |
1407468416 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 488 E Valley Pkwy Ste 207, Escondido, CA 92025-3368 | 2020-08-20 |
1801406269 | Restore Medical Inc | Prosthetic/Orthotic Supplier | 1505 Soquel Dr Ste 4, Santa Cruz, CA 95065-1716 | 2020-07-31 |
1801404199 | Covering With Care | Prosthetic/Orthotic Supplier | 21350 Avalon Blvd Unit 5039, Carson, CA 90749-7032 | 2020-07-22 |
Find all providers with the same taxonomy |
City | PLEASANT HILL |
Zip Code | 94523 |
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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.