Provider Demographics
NPI:1205246832
Name:STERLING PHYSICAL THERAPY
Entity type:Organization
Organization Name:STERLING PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAMACHANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-763-8099
Mailing Address - Street 1:2324 MONTPELIER DR STE 1
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1612
Mailing Address - Country:US
Mailing Address - Phone:408-763-8099
Mailing Address - Fax:408-724-6599
Practice Address - Street 1:2324 MONTPELIER DR STE 1
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1612
Practice Address - Country:US
Practice Address - Phone:408-763-8099
Practice Address - Fax:408-724-6599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30346225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty