Provider Demographics
NPI:1477631653
Name:JOSEPH E RIZZA
Entity Type:Organization
Organization Name:JOSEPH E RIZZA
Other - Org Name:ORTHO SPORTS & SPINE REHAB CNT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:RIZZA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:650-852-1228
Mailing Address - Street 1:3401 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-2805
Mailing Address - Country:US
Mailing Address - Phone:650-852-1228
Mailing Address - Fax:650-852-0102
Practice Address - Street 1:3401 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-2805
Practice Address - Country:US
Practice Address - Phone:650-852-1228
Practice Address - Fax:650-852-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT105042251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPT105040Medicare ID - Type Unspecified