Provider Demographics
NPI:1174299499
Name:NRG PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:NRG PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAYAL
Authorized Official - Middle Name:
Authorized Official - Last Name:GAGLANI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:415-495-2225
Mailing Address - Street 1:THREE EMBARCADERO CENTER, LL5
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111
Mailing Address - Country:US
Mailing Address - Phone:415-495-2225
Mailing Address - Fax:415-495-2225
Practice Address - Street 1:THREE EMBARCADERO CENTER, LOBBY LEVEL
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111
Practice Address - Country:US
Practice Address - Phone:415-495-2225
Practice Address - Fax:415-495-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty