STAC PHYSICAL THERAPY EMERYVILLE, INC. (NPI# 1326527730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326527730 |
| Entity Type | Organization |
| Organization Name | STAC PHYSICAL THERAPY EMERYVILLE, INC. |
| Other Organization Name | EMERYVILLE SPORTS PHYSICAL THERAPY |
| Practice Address |
2322 Powell St Emeryville CA 94608-1738 |
| Practice Telephone | 6268253739 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | ANDREW MORCOS (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 6268253739 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
33997 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Emeryville Sports Physical Therapy | Doing Business As Name - Organization |
| Street Address |
2322 POWELL ST |
| City | EMERYVILLE |
| State | CA |
| Zip Code | 94608-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174598098 | Bg Medical, Inc | Clinic/Center | 2322 Powell St, Emeryville, CA 94608 | 2006-02-22 |
| 1720622400 | Connie Chan | Physical Therapist | 2322 Powell St, Emeryville, CA 94608-1738 | 2019-11-05 |
| 1588205587 | Or Nativ | Physical Therapist | 2322 Powell St, Emeryville, CA 94608-1738 | 2019-10-01 |
| 1821483595 | Lauren Vancitters | Physical Therapist | 2322 Powell St, Emeryville, CA 94608-1738 | 2015-03-31 |
| 1013348606 | Chelsea Morris Anjeski | Physical Therapist | 2322 Powell St, Emeryville, CA 94608-1738 | 2013-12-06 |
| 1477850980 | Susannah Santee | Physical Therapist | 2322 Powell St, Emeryville, CA 94608-1738 | 2011-02-17 |
| 1871762492 | Dara Richman | Physical Therapist | 2322 Powell St, Emeryville, CA 94608-1738 | 2008-02-28 |
| 1396779443 | Robert Leslie Baker | Physical Therapist | 2322 Powell St, Emeryville, CA 94608-1738 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363610 | Francine Marie Madrid-bizari | Midwife | 5854 Fremont St, Oakland, CA 94608 | 2020-07-13 |
| 1457853921 | Jimmy Yan | Behavior Technician | 5900 Hollis Street Suite X, Emeryville, CA 94608 | 2018-03-01 |
| 1609395961 | Bay Wellness | Durable Medical Equipment & Medical Supplies | 5715 Market St Ste #d, Oakland, CA 94608 | 2017-09-18 |
| 1871023630 | Philip Staley | Registered Nurse | 1890 Alcatraz Avenue, Berkeley, CA 94608 | 2017-06-14 |
| 1114379120 | Leah Jane Tapscott | Registered Nurse | 6121 Hollis St Ste 900, Emeryville, CA 94608 | 2016-07-01 |
| 1295122273 | Paramjit S Virk | Nurse Practitioner | 888 Stanford Ave., Oakland, CA 94608 | 2015-04-17 |
| 1295123453 | Sports Injury Medical Group | Preferred Provider Organization | 5900 Hollis St., Suite K, Emeryville, CA 94608 | 2014-12-22 |
| 1144630583 | Adeline Lopez | Social Worker | 925 Brockhurst St., Oakland, CA 94608 | 2014-05-07 |
| 1710201603 | Rachna Gurjeet Wadia | Pediatrics | 6121 Hollis St. Suite #2, Emeryville, CALIFORNIA 94608 | 2010-03-21 |
| 1184872285 | I 5 Medical Group, Inc. | Clinic/Center | 5915 B Hollis Street, Emeryville, CA 94608 | 2008-09-03 |
| Find all providers in zip 94608 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396060687 | Pacific Orthopaedic & Sports Rehabilitation | Physical Therapist | 5915 Hollis St Ste A, Emeryville, CA 94608-2066 | 2010-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
| City | EMERYVILLE |
| Zip Code | 94608 |
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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.