Provider Demographics
NPI:1780961896
Name:SILVETTI, JANE (PT)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:SILVETTI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 TENNANT AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-5529
Mailing Address - Country:US
Mailing Address - Phone:408-778-3434
Mailing Address - Fax:408-778-3464
Practice Address - Street 1:605 TENNANT AVE
Practice Address - Street 2:SUITE F
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-5529
Practice Address - Country:US
Practice Address - Phone:408-778-3434
Practice Address - Fax:408-778-3464
Is Sole Proprietor?:No
Enumeration Date:2011-11-03
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 14115225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA192370Medicare PIN