Provider Demographics
NPI:1275623019
Name:FRANCESCHI PHYSICAL THERAPY
Entity Type:Organization
Organization Name:FRANCESCHI PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCESCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MS,PT
Authorized Official - Phone:707-573-8202
Mailing Address - Street 1:2448 GUERNEVILLE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-4175
Mailing Address - Country:US
Mailing Address - Phone:707-573-8202
Mailing Address - Fax:707-573-8204
Practice Address - Street 1:2448 GUERNEVILLE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-4175
Practice Address - Country:US
Practice Address - Phone:707-573-8202
Practice Address - Fax:707-573-8204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0PT10028225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT100280Medicare ID - Type UnspecifiedPHYSICAL THERAPIST