Provider Demographics
NPI:1942706445
Name:ABILITY PHYSICAL THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:ABILITY PHYSICAL THERAPY SERVICES, INC.
Other - Org Name:ABILITY THERAPY, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANJANETTE
Authorized Official - Middle Name:LIM
Authorized Official - Last Name:JAVELLANA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:408-659-6105
Mailing Address - Street 1:5356 PRINCE ESTATES CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-1368
Mailing Address - Country:US
Mailing Address - Phone:408-659-6105
Mailing Address - Fax:
Practice Address - Street 1:5356 PRINCE ESTATES CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95135-1368
Practice Address - Country:US
Practice Address - Phone:408-659-6105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36408225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty