Provider Demographics
NPI:1548704018
Name:GO BEYOND PHYSICAL THERAPY, INC
Entity type:Organization
Organization Name:GO BEYOND PHYSICAL THERAPY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KOREY
Authorized Official - Middle Name:VERA
Authorized Official - Last Name:PIEPER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:805-886-8833
Mailing Address - Street 1:39 QUAIL CT STE 300
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5570
Mailing Address - Country:US
Mailing Address - Phone:925-977-9300
Mailing Address - Fax:925-952-9568
Practice Address - Street 1:39 QUAIL CT STE 300
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5570
Practice Address - Country:US
Practice Address - Phone:192-597-7930
Practice Address - Fax:925-395-4829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-18
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32981261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy