SANDS TRAVELER P.T. (NPI# 1154514040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154514040 |
Entity Type | Organization |
Organization Name | SANDS TRAVELER P.T. |
Other Organization Name | SIERRA VALLEY PHYSICAL THERAPY |
Practice Address |
176 Crescent Street Greenville CA 95947 |
Mailing Address |
73795 S Delleker Rd Portola CA 96122-6402 |
Practice Telephone | 5302841666 |
Practice Fax Number | 5308321703 |
Mailing Telephone | 5308321701 |
Mailing Fax Number | 5308321703 |
Enumeration Date | 2007-08-23 |
Last Update Date | 2009-09-15 |
Authorized Official Name | MR. REYNALDO PESINA (OWNER / DIRECTOR) |
Authorized Official Telephone | 5308321701 |
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 |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Sierra Valley Physical Therapy | Doing Business As Name - Organization |
Street Address |
176 CRESCENT STREET |
City | GREENVILLE |
State | CA |
Zip Code | 95947 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376096248 | Shelly Dixon | Rehabilitation Practitioner | 96 S Main St, Greenville, CA 95947 | 2016-07-27 |
1235410689 | Errol Carter | Community Health Worker | 312 Crescent Dr, Greenville, CA 95947 | 2011-08-30 |
1962783308 | Joyce Carter | Community Health Worker | 312 Crescent St., Greenville, CA 95947 | 2011-08-30 |
1679896203 | Shauna Lynn Rossington | Marriage & Family Therapist | 312 Crescent St, Greenville, CA 95947 | 2010-03-10 |
1831300763 | Indian Valley Fire and Rescue | Ambulance | 121 Ann St, Greenville, CA 95947 | 2007-05-24 |
1851844856 | Flora Minera | Rehabilitation Practitioner | 96 S Main St, Greenville, CA 95947 | 2016-07-27 |
1598218679 | Melissa Briggs | Rehabilitation Practitioner | 96 S. Main St, Greenville, CA 95947 | 2016-07-26 |
1750710646 | Joy Owomoyels | Rehabilitation Practitioner | 312 Crescent St, Greenville, CA 95947 | 2013-11-01 |
1285063164 | Ade Owomoyela | Rehabilitation Practitioner | 312 Crescent St, Greenville, CA 95947 | 2013-11-01 |
1962836866 | Weidong Qi | Rehabilitation Practitioner | 312 Crescent St, Greenville, CA 95947 | 2013-08-27 |
Find all providers in zip 95947 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104426907 | Firefly Therapy Clinic LLC | Clinic/Center | 2103 Hartness Dr, Greenville, SC 29615-5497 | 2020-10-29 |
1568071017 | Pt Dispatch, LLC | Clinic/Center | 81 Pointe Cir Ste D-18, Greenville, SC 29615-3505 | 2020-07-29 |
1962045500 | Bright Physical Therapy, LLC | Clinic/Center | 4010 E North St Ste 4, Greenville, SC 29615-6208 | 2019-10-28 |
1396231551 | Purposed Physical Therapy, LLC. | Clinic/Center | 11 Barkingham Ln Ste C, Greenville, SC 29607-5905 | 2018-07-10 |
1568870491 | Zapf Physical Wellness | Clinic/Center | 48 Faris Cir, Greenville, SC 29605-1010 | 2014-07-23 |
1063733442 | Kinetic Phys Therapy and Wellness Inc | Clinic/Center | 1540 E Arlington Blvd, Greenville, NC 27858-5870 | 2010-06-19 |
1689731374 | Kimberlee J Odonald Pt PC | Clinic/Center | 1330 W Washington, Greenville, MI 48838-2190 | 2007-01-02 |
1164512380 | Douglas E Fleming LLC | Clinic/Center | 1020 Margaret Blvd, Greenville, MS 38703 | 2006-10-16 |
1902846389 | Arc Therapy Services LLC | Clinic/Center | 12 Boyce Ave, Greenville, SC 29601-3149 | 2006-06-07 |
1083661623 | America Rehabilitation Services Inc | Clinic/Center | 700 Cromwell Dr, Ste B, Greenville, NC 27858-5436 | 2006-05-28 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 95947 |
Please comment or provide details below to improve the information on SANDS TRAVELER P.T..
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.