Provider Demographics
NPI:1558585935
Name:JAMES SCOTT PLANK
Entity Type:Organization
Organization Name:JAMES SCOTT PLANK
Other - Org Name:CITY SPORT PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:PLANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-287-8881
Mailing Address - Street 1:196 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-5542
Mailing Address - Country:US
Mailing Address - Phone:408-287-8881
Mailing Address - Fax:
Practice Address - Street 1:196 N 3RD ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-5542
Practice Address - Country:US
Practice Address - Phone:408-287-8881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT16490174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty