MRS. BRYN ELISE HARTLEY (NPI# 1497095111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497095111 |
| Entity Type | Individual |
| Full Name | MRS. BRYN ELISE HARTLEY |
| Credential | P.T. |
| Practice Address |
2208 Camino Ramon Ste B San Ramon CA 94583-1328 |
| Mailing Address |
3039 Lunada Ln Alamo CA 94507-1513 |
| Practice Telephone | 9253094702 |
| Enumeration Date | 2013-02-16 |
| Last Update Date | 2013-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT26739 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2208 CAMINO RAMON STE B |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073806386 | Sheetal Mahesh Encarnacion | Occupational Therapist | 2208 Camino Ramon Ste B, San Ramon, CA 94583-1328 | 2011-05-19 |
| 1013496165 | Mallory Mcbride | Speech-Language Pathologist | 2208 Camino Ramon Ste B, San Ramon, CA 94583-1328 | 2018-08-09 |
| 1558871160 | Kristina Kouris | Speech-Language Pathologist | 2208 Camino Ramon Ste B, San Ramon, CA 94583-1328 | 2017-10-09 |
| 1942738430 | Adrianna Kaspar | Speech-Language Pathologist | 2208 Camino Ramon Ste B, San Ramon, CA 94583-1328 | 2017-05-26 |
| 1508391657 | Yalda Yekta | Occupational Therapist | 2208 Camino Ramon Ste B, San Ramon, CA 94583-1328 | 2017-04-26 |
| 1578095154 | Priscilla Lau | Speech-Language Pathologist | 2208 Camino Ramon Ste B, San Ramon, CA 94583-1328 | 2017-04-01 |
| 1376903856 | Anna Minton | Speech-Language Pathologist | 2208 Camino Ramon Ste B, San Ramon, CA 94583-1328 | 2016-02-26 |
| 1417213620 | Ashley Rudd | Speech-Language Pathologist | 2208 Camino Ramon Ste B, San Ramon, CA 94583-1328 | 2012-04-02 |
| 1437447026 | Melissa Hogan | Specialist | 2208 Camino Ramon Ste B, San Ramon, CA 94583-1328 | 2011-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659648459 | Julie H Perfect | Physical Therapist | 2460 Palmira Pl, San Ramon, CA 94583-1942 | 2011-11-21 |
| 1598073397 | Meredith Leslie Erin Fruchtenicht | Physical Therapist | 2500 Old Crow Canyon Rd, Building 100 Suite 112, San Ramon, CA 94583-1623 | 2010-09-15 |
| 1326379298 | Therapy At Play, Inc | Physical Therapist | 2208 Camino Ramon, Ste B, San Ramon, CA 94583 | 2010-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745233 | Tejal Shah Chokshi | Physical Therapist | 7425 La Mantanza, San Diego, CA 92127-3636 | 2020-09-16 |
| 1487277992 | Katherine Anne Zweier | Physical Therapist | 4646 Van Dyke Ave, San Diego, CA 92116-4842 | 2020-05-19 |
| 1184246621 | Achieving Milestones Pediatric Therapy, Inc | Physical Therapist | 221 E Glenoaks Blvd # 225a, Glendale, CA 91207-2085 | 2020-05-07 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1215585690 | Maggie Christine Ridenhour | Physical Therapist | 1541 Old Bayshore Hwy, Burlingame, CA 94010-1602 | 2019-08-29 |
| 1477100162 | Fasia Ramirez | Physical Therapist | 35510 Schuber Ln, Temecula, CA 92592-8125 | 2019-08-19 |
| 1689229841 | Jaclyn Rymer | Physical Therapist | 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 | 2019-08-05 |
| 1649836669 | Karin Stohn | Physical Therapist | 100 Mcgivern Way, Santa Cruz, CA 95060-9300 | 2019-05-15 |
| 1376108597 | Karen Dzierski Cruise | Physical Therapist | 10860 Topanga Canyon Blvd, Chatsworth, CA 91311-1350 | 2019-05-02 |
| 1326511064 | Lissett Rojas | Physical Therapist | 855 N Lark Ellen Ave Ste L, West Covina, CA 91791-1099 | 2019-01-04 |
| Find all providers with the same taxonomy | ||||
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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.