KODA THERAPY GROUP (NPI# 1689219594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689219594 |
| Entity Type | Organization |
| Organization Name | KODA THERAPY GROUP |
| Practice Address |
2421 Park Blvd Ste B205 Palo Alto CA 94306-1998 |
| Practice Telephone | 6504412894 |
| Mailing Telephone | 6504412894 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Authorized Official Name | ABIGAIL HOWE (OWNER, FOUNDER) |
| Authorized Official Telephone | 6504412894 |
| Authorized Official Credential | CMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PROFESSIONAL | 1831751403 | 01 |
| Other Name | Type Code |
|---|---|
| Koda Therapy Group | Doing Business As Name - Organization |
| Street Address |
2421 PARK BLVD STE B205 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94306-1998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126538 | Vasily Salov | Massage Therapist | 2313 Park Blvd, Palo Alto, CA 94306 | 2020-08-25 |
| 1568982569 | Shian Hong | Registered Nurse | 270 Grant Avenue, Palo Alto, CA 94306 | 2017-06-21 |
| 1386092229 | Woo Jung Park | Acupuncturist | 4290 Wilkie Way #c, Palo Alto, CA 94306 | 2016-06-01 |
| 1225442205 | Keiko Gill | Chiropractor | 480 California Ave Ste 103, Palo Alto, CA 94306 | 2014-06-17 |
| 1093147092 | Thuy Nguyen | Optometrist | 109 California Ave Ste D101a, Palo Alto, CA 94306 | 2013-08-01 |
| 1750685293 | Erica Mikhli | Physician Assistant | 300 Pasteur Drive Cvrb 2nd Floor, Stanford, CA 94306 | 2010-12-24 |
| 1225262553 | Rina Biren Shah | Family Medicine | 270 Grant Ave., Mayview Community Health Center, Palo Alto, CA 94306 | 2009-05-14 |
| 1669640173 | Leah Zialcita | Physical Therapist | 2345 Yale Street, Palo Alto, CA 94306 | 2008-02-19 |
| 1578761631 | Mary June Asenathe Wagner | Dentist | 1795 El Camino Real #100, Palo Alto, CA 94306 | 2007-07-10 |
| 1972628923 | Lillian Landsman Burt | Social Worker | 2 Roosevelt Circle, Palo Alto, CA 94306 | 2007-03-20 |
| Find all providers in zip 94306 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
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| 1851944110 | Onyx Pain Management Medical Corporation | Clinic/Center | 1250 S Sunset Ave Ste 206, West Covina, CA 91790-3962 | 2019-07-16 |
| 1063078293 | Regenerative Health and Wellness Institute | Clinic/Center | 4207 Del Rey Ave, Marina Del Rey, CA 90292-5605 | 2019-05-14 |
| 1740843374 | Green Creek Acupuncture,inc | Clinic/Center | 20735 Stevens Creek Blvd Ste D, Cupertino, CA 95014-2104 | 2019-04-18 |
| 1013478130 | Advanced Pain Medical Group, Inc. | Clinic/Center | 655 W Avenue Q Ste B, Palmdale, CA 93551-3894 | 2019-03-29 |
| 1609350669 | Edgar Celis Md Inc | Clinic/Center | 1050 Northgate Dr Ste 460, San Rafael, CA 94903-2542 | 2018-09-17 |
| 1356848915 | Ensele Enterprises Consulting Inc | Clinic/Center | 5030 Parkway Calabasas, Calabasas, CA 91302-1422 | 2018-04-10 |
| 1730691973 | Ageless Acupuncture Health Center | Clinic/Center | 46923 Warm Springs Blvd Ste 206, Fremont, CA 94539-7977 | 2017-10-27 |
| 1134648694 | Advanced Pain Diagnostic & Solutions, Inc. | Clinic/Center | 2160 Sunset Blvd Ste 502, Rocklin, CA 95765-4790 | 2017-09-15 |
| 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.