Provider Demographics
NPI:1336381003
Name:J & A DRENNON INC
Entity Type:Organization
Organization Name:J & A DRENNON INC
Other - Org Name:SILICON VALLEY PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:DRENNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-390-1150
Mailing Address - Street 1:2500 CHURCH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MARTIN
Mailing Address - State:CA
Mailing Address - Zip Code:95046-9106
Mailing Address - Country:US
Mailing Address - Phone:408-390-1150
Mailing Address - Fax:408-351-4344
Practice Address - Street 1:15066 LOS GATOS ALMADEN RD
Practice Address - Street 2:120
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-3909
Practice Address - Country:US
Practice Address - Phone:408-390-1150
Practice Address - Fax:408-351-4344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28649225100000X, 2251H1300X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2251H1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHuman FactorsGroup - Single Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty