MISSION DISTRICT PHYSICAL THERAPY & REHABILITATION (NPI# 1174055073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174055073 |
| Entity Type | Organization |
| Organization Name | MISSION DISTRICT PHYSICAL THERAPY & REHABILITATION |
| Practice Address |
3490 20th St Fl 1 San Francisco CA 94110-2582 |
| Practice Telephone | 4158244228 |
| Practice Fax Number | 4158244678 |
| Mailing Telephone | 4158244228 |
| Mailing Fax Number | 4158244678 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | MR. RAUL HUGO CAIMANQUE (OWNER & DIRECTOR) |
| Authorized Official Telephone | 4158244228 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT16150 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA DRIVERS LICENSE | B9323545 | 01 |
| Street Address |
3490 20TH ST FL 1 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-2582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407327745 | Elizabeth Mcdonald | Physical Therapist | 3490 20th St Fl 1, San Francisco, CA 94110-2582 | 2018-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245850817 | Body Be Good | Clinic/Center | 400 28th Ave Apt 7, San Francisco, CA 94121-1874 | 2020-04-23 |
| 1548748759 | Muvr Labs, Inc | Clinic/Center | 724 Bannan Street, San Francisco, CA 94103 | 2018-07-31 |
| 1114433992 | Ak Sharma Physical Therapy Inc | Clinic/Center | 1489 Webster St Ste 210, San Francisco, CA 94115-3760 | 2017-12-16 |
| 1487166898 | Therapia Health Management Inc. | Clinic/Center | 1390 Market St. Suite 200, San Francisco, CA 94102 | 2017-10-26 |
| 1508105388 | Bluejacket Wellness, Inc. | Clinic/Center | 47 Maiden Ln, 2nd Floor, San Francisco, CA 94108-5401 | 2013-02-13 |
| 1508101205 | Select Physical Therapy Holdings Inc. | Clinic/Center | 1700 Pacific Avenue, Suite 530, San Francisco, CA 94109 | 2012-12-06 |
| 1174770630 | Form Physical Therapy, A Professional Corporation | Clinic/Center | 2358 Pine Street, San Francisco, CA 94115 | 2008-08-26 |
| 1043408677 | Colleen Huff & Associates | Clinic/Center | 1375 Sutter St Ste 210, San Francisco, CA 94109-5465 | 2007-10-09 |
| 1982749065 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 728 20th Street, San Francisco, CA 94107 | 2007-02-20 |
| 1063557130 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 110 Sutter Street, Suite 300, San Francisco, CA 94104 | 2007-02-20 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
Please comment or provide details below to improve the information on MISSION DISTRICT PHYSICAL THERAPY & REHABILITATION.
| 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.