Provider Demographics
NPI:1932114519
Name:PT WORKS
Entity Type:Organization
Organization Name:PT WORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:650-947-9646
Mailing Address - Street 1:794 ALTOS OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-6013
Mailing Address - Country:US
Mailing Address - Phone:650-947-9646
Mailing Address - Fax:650-947-9566
Practice Address - Street 1:794 ALTOS OAKS DR
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-6013
Practice Address - Country:US
Practice Address - Phone:650-947-9646
Practice Address - Fax:650-947-9566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACG5266OtherRAILROAD MEDICARE
CAZZZ55575ZOtherBLUE SHIELD
CACG5266OtherRAILROAD MEDICARE