Healthcare Provider Details

I. General information

NPI: 1093546624
Provider Name (Legal Business Name): HELIX PERFORMANCE PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 FOSTORIA WAY STE A100
DANVILLE CA
94526-5570
US

IV. Provider business mailing address

3420 FOSTORIA WAY STE A100
DANVILLE CA
94526-5570
US

V. Phone/Fax

Practice location:
  • Phone: 925-222-5101
  • Fax: 925-233-3313
Mailing address:
  • Phone: 925-222-5101
  • Fax: 925-233-3313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: WESTON ANDERSON
Title or Position: PRESIDENT
Credential: PT DPT
Phone: 925-222-5101