CONTRA COSTA PHYSICAL THERAPY (NPI# 1952518714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952518714 |
Entity Type | Organization |
Organization Name | CONTRA COSTA PHYSICAL THERAPY |
Practice Address |
3065 Richmond Pkwy Ste 105 Richmond CA 94806-5718 |
Practice Telephone | 5107581111 |
Mailing Telephone | 5107581111 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2008-07-16 |
Authorized Official Name | MR. ANDRE CYRIL MALIN (OWNER) |
Authorized Official Telephone | 5107581111 |
Authorized Official Credential | P.T. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT11158 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PHYSICAL THERAPY LICENSE | PT11158 | 01 |
Street Address |
3065 RICHMOND PKWY STE 105 |
City | RICHMOND |
State | CA |
Zip Code | 94806-5718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912212085 | Contra Costa Physical Therapy Inc | Clinic/Center | 3065 Richmond Pkwy Ste 105, Richmond, CA 94806-5718 | 2010-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
Find all providers in zip 94806 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245838754 | Camille Louise Ronesi | Clinic/Center | 8910 Patterson Ave, Richmond, VA 23229-6324 | 2020-10-16 |
1922532571 | Pediatric Motorwerks Physical Therapy, LLC | Clinic/Center | 35905 Jefferson St, Richmond, MI 48062-1059 | 2017-04-19 |
1437548591 | Mdtempleton, Inc. | Clinic/Center | 1910 Foster Leaf Ln, Richmond, TX 77406-1803 | 2015-01-13 |
1164714358 | Sarah Kranz | Clinic/Center | 420 Portwest Ter, Richmond, VA 23238-5564 | 2011-05-06 |
1730391921 | Specialized Therapy Services, LLC | Clinic/Center | 7206 Hull Street Rd, Suite 110, Richmond, VA 23225 | 2007-05-03 |
1184744732 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 9211 Burge Ave, Richmond, VA 23237 | 2007-03-29 |
1154441715 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 4301 West Broad Street, Richmond, VA 23230 | 2007-03-29 |
1568506822 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 2970 Hilltop Mall Road, Suite 202 & 203, Richmond, CA 94806 | 2007-02-19 |
1225041650 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 3000 Skipwith Road, Richmond, VA 23294-4144 | 2006-08-15 |
1952379760 | Physical Therapy Care PC | Clinic/Center | 1500 Jackson St, Suite 400, Richmond, TX 77469 | 2006-03-08 |
Find all providers in RICHMOND |
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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.