Provider Demographics
NPI:1073720231
Name:SHELDON C LOW
Entity Type:Organization
Organization Name:SHELDON C LOW
Other - Org Name:ORINDA PHYSICAL THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:C
Authorized Official - Last Name:LOW
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:925-254-8755
Mailing Address - Street 1:1 BATES BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2800
Mailing Address - Country:US
Mailing Address - Phone:925-254-8755
Mailing Address - Fax:925-254-7519
Practice Address - Street 1:1 BATES BLVD.
Practice Address - Street 2:SUITE 100
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563
Practice Address - Country:US
Practice Address - Phone:925-254-8755
Practice Address - Fax:925-254-7519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT10013225100000X
CAPT10486225100000X
CAPT15680225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT10013OtherSTATE OF CALIFORNIA
CAOPT100130Medicare ID - Type Unspecified