PROVOKE SF (NPI# 1649703893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649703893 |
| Entity Type | Organization |
| Organization Name | PROVOKE SF |
| Practice Address |
80 Missouri St San Francisco CA 94107-2454 |
| Mailing Address |
995 Sanchez St San Francisco CA 94114-3322 |
| Practice Telephone | 6312555044 |
| Practice Fax Number | 4154847274 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | BRIAN M KING (OWNER) |
| Authorized Official Telephone | 6312555044 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
43538 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
80 MISSOURI ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94107-2454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969745 | Munashe Blessing Kaseke | Pharmacist | 1400 Tennessee St, Suite #2, San Francisco, CA 94107 | 2020-07-11 |
| 1598380891 | Alina Marshall | Technician, Other | 795 Folsom Street, 1st Floor, San Francisco, CA 94107 | 2020-06-11 |
| 1316582141 | Orapin Horst Dental Corporation | Dentist | 238 Shipley Street, San Franciscoq, CA 94107 | 2019-11-15 |
| 1497225239 | Jennifer Mclean | Physical Medicine & Rehabilitation | 105 Freelon St. #7, San Francisco, CA 94107 | 2018-12-04 |
| 1689183725 | Joyce Elizabeth Jacobs | Specialist | Sommhs, 760 Harrison Street, San Francisco, CA 94107 | 2017-09-20 |
| 1346767357 | Brittani A Toy | Technician, Other | 795 Folsom St. 1st Floor, San Francisco, CA 94107 | 2017-08-29 |
| 1942746276 | Marija Colic | Behavioral Analyst | 795 Folsom Street, San Francisco, CA 94107 | 2017-01-10 |
| 1861840340 | Calvin Shapses | Internal Medicine | 730 Harrison Street, Suite 100, San Francisco, CA 94107 | 2016-05-25 |
| 1568857290 | Loop Optometry | Optometrist | 252 5th Street, San Francisco, CA 94107 | 2015-03-31 |
| 1174914147 | Jake Wood Putnam Bagley | Physical Therapist | 303 2nd St Ste 115c, San Francisco, CA 94107 | 2015-02-12 |
| Find all providers in zip 94107 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261349 | Roberto Concha-foley | Physical Therapist | 218 Bepler St, San Francisco, CA 94112-3900 | 2019-12-06 |
| 1265953525 | Janette Sofia Cariad | Physical Therapist | 329 Bryant St Ste 2a, San Francisco, CA 94107-1444 | 2017-06-27 |
| 1235676560 | Holly Holton | Physical Therapist | 480 Mission Bay Blvd N, Unit 911, San Francisco, CA 94158-2164 | 2017-01-25 |
| 1356710487 | Jason Nicholas Won | Physical Therapist | 77 Battery St Fl 3, San Francisco, CA 94111-5543 | 2015-09-18 |
| 1982093134 | Brian M King | Physical Therapist | 1118 Howard St, San Francisco, CA 94103-3946 | 2015-01-12 |
| 1982043444 | Joann Tippett | Physical Therapist | 77 Battery St, 3rd Floor, San Francisco, CA 94111-5537 | 2013-06-18 |
| 1235388802 | Amy Selinger | Physical Therapist | 329 Bryant St, Suite 2a, San Francisco, CA 94107-1444 | 2008-09-18 |
| 1205038924 | Elizabeth Ann Chaffin | Physical Therapist | 2250 Bay St, #106, San Francisco, CA 94123-1861 | 2007-06-04 |
| 1851424915 | Julie Eve Schottland-cox | Physical Therapist | 2 Crown Ter, San Francisco, CA 94114-2106 | 2007-03-14 |
| 1053470419 | Patrick Bryan Bridgett | Physical Therapist | 850 Church St, San Francisco, CA 94114-3031 | 2006-12-08 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94107 |
Please comment or provide details below to improve the information on PROVOKE SF.
| 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.