Provider Demographics
NPI:1033290580
Name:SANTA CLARA VALLEY PHYSICAL THERAPY
Entity type:Organization
Organization Name:SANTA CLARA VALLEY PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/PT
Authorized Official - Prefix:
Authorized Official - First Name:TERRYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:408-356-1156
Mailing Address - Street 1:2516 SAMARITAN DR
Mailing Address - Street 2:SUITE M
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4108
Mailing Address - Country:US
Mailing Address - Phone:408-356-1156
Mailing Address - Fax:408-356-6826
Practice Address - Street 1:2516 SAMARITAN DR
Practice Address - Street 2:SUITE M
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4108
Practice Address - Country:US
Practice Address - Phone:408-356-1156
Practice Address - Fax:408-356-6826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT9869225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1487661344Medicare UPIN