Provider Demographics
NPI:1750040895
Name:GOLDEN HILLS ORTHOPEDIC AND SPORTS PHYSICAL THERAPY INC.
Entity Type:Organization
Organization Name:GOLDEN HILLS ORTHOPEDIC AND SPORTS PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SASHIKANT
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAHMBHATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-274-0888
Mailing Address - Street 1:1436 CALIFORNIA CIR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-3022
Mailing Address - Country:US
Mailing Address - Phone:408-274-0888
Mailing Address - Fax:408-274-2858
Practice Address - Street 1:1436 CALIFORNIA CIR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-3022
Practice Address - Country:US
Practice Address - Phone:408-274-0888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty