MEDICARE: STERLING PHYSICAL THERAPY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	39439	CA

General Provider Information

NPI Number	:	1578642567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STERLING PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	2324 MONTPELIER DR
Second Line	:	SUITE 1
City	:	SAN JOSE
State	:	CA
Zip	:	95116-1612
Country	:	US
Telephone Number	:	408-763-8099
Fax Number	:	408-724-6599

Provider Business Practice Location Address
First Line	:	2324 MONTPELIER DR
Second Line	:	SUITE 1
City	:	SAN JOSE
State	:	CA
Zip	:	95116-1612
Country	:	US
Telephone Number	:	408-763-8099
Fax Number	:	408-724-6599

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	MR. RAMACHANDRA RAJU MANTENA
Credential	:	RPT
Telephone Number	:	408-763-8099

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	06/09/2021

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Directions to “STERLING PHYSICAL THERAPY PC ” Practice Location

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