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PRUNEDALE PHYSICAL THERAPY
NPI 1053492207
Specialist in Prunedale, CA

Active since October 17, 2006
17823 COUNTRYSIDE CT, PRUNEDALE, CA 93907(831) 663-8819(831) 663-5376 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prunedale Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRUNEDALE PHYSICAL THERAPY (NPI 1053492207) is a healthcare organization registered as a specialist in Prunedale, California and active in the NPI registry since October 2006. The organization lists Yara Miramontes, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053492207
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRUNEDALE PHYSICAL THERAPY
Location Address17823 COUNTRYSIDE CTPrunedale, CA 93907-8804
Mailing Address17823 Countryside CtPrunedale, CA 93907-8804 · (831) 663-8819 · Fax (831) 663-5376
Phone(831) 663-8819
Fax(831) 663-5376
Organization SubpartNo
Authorized OfficialYara MiramontesOffice Manager · (831) 663-8819
Enumeration DateOctober 17, 2006
Last NPPES UpdateNovember 6, 2007
✔ NPI 1053492207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
17823 COUNTRYSIDE CT, Prunedale, CA 93907
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. LUCAS JARED JOHNSON M.P.T
Physical Therapist
17823 COUNTRYSIDE CT
PRUNEDALE, CA 93907
Monterey County (831) 663-8818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prunedale Physical Therapy's NPI number?

The NPI number for Prunedale Physical Therapy is 1053492207. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Prunedale Physical Therapy located?

Prunedale Physical Therapy is located at 17823 Countryside Ct, Prunedale, CA 93907. The listed phone number is (831) 663-8819.

What is Prunedale Physical Therapy's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Prunedale Physical Therapy was last updated on November 6, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.