Evergreen Physical Therapy in San Jose - Physical Therapy
Evergreen Physical Therapy - NPI 1639267438
Evergreen Physical Therapy is a Physical Therapy in San Jose, California. Evergreen Physical Therapy practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Evergreen Physical Therapy is 1639267438. The last update date is 2020-08-22.
Evergreen Physical Therapy's current location address is 1624 E Capitol Expy, San Jose, California. You can contact this provider via phone number 4082702280 and fax number 4082701902. The mailing address for Evergreen Physical Therapy is 1624 E Capitol Expy, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Physical Therapy |
|---|---|
| Address | 1624 E Capitol Expy, San Jose, California |
| Phone Number | 4082702280 |
| Fax Number | 4082701902 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Katzman R Stuart |
| Credentials | PT |
| Telephone Number | 4082702280 |
NPI Number Detail
| NPI Number | 1639267438 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1624 E Capitol Expy |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951211800 |
| Phone Number | 4082702280 |
| Fax Number | 4082701902 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
| Licence No | 14729 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a |
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What is the unique 10-digit identifier code assigned to Evergreen Physical Therapy by the Centers for Medicare & Medicaid Services?
The Evergreen Physical Therapy has been issued the NPI (National Provider Identifier) 1639267438 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Evergreen Physical Therapy is geographically located?
The Evergreen Physical Therapy is physically situated at the following location: 1624 E Capitol Expy, San Jose, CA, 951211800.
What is Evergreen Physical Therapy's area of expertise and its corresponding taxonomy classification?
The Evergreen Physical Therapy's field of specialization is Physical Therapy, and it falls under the taxonomy code 261Qp2000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1639267438 to Evergreen Physical Therapy?
The Evergreen Physical Therapy received its 1639267438 assignment from the Centers for Medicare & Medicaid Services on 2006-10-10.
When was the information regarding Evergreen Physical Therapy most recently updated?
The details pertaining to the Evergreen Physical Therapy, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.