Provider Demographics
NPI:1932280302
Name:SCARPELLI, ELIZABETH (PT,OCS,FAAOMPT)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:SCARPELLI
Suffix:
Gender:F
Credentials:PT,OCS,FAAOMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 18TH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-2470
Mailing Address - Country:US
Mailing Address - Phone:415-626-1929
Mailing Address - Fax:415-626-2607
Practice Address - Street 1:4200 18TH STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-2449
Practice Address - Country:US
Practice Address - Phone:415-255-1536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA8498225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00PT84980Medicare ID - Type Unspecified