Provider Demographics
NPI:1932134228
Name:HEALTH-PRO PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:HEALTH-PRO PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHALL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:925-935-4866
Mailing Address - Street 1:110 LA CASA VIA
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3000
Mailing Address - Country:US
Mailing Address - Phone:925-935-4866
Mailing Address - Fax:925-935-8873
Practice Address - Street 1:110 LA CASA VIA
Practice Address - Street 2:SUITE 100
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3000
Practice Address - Country:US
Practice Address - Phone:925-935-4866
Practice Address - Fax:925-935-8873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT15186225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPT151860OtherCMS MEDICARE INDIV PIN
CAOPT151861OtherCMS MEDICARE GROUP PIN
CAOPT151860OtherCMS MEDICARE INDIV PIN
CA22236172Medicare ID - Type UnspecifiedGROUP