Healthcare Provider Details

I. General information

NPI: 1679756217
Provider Name (Legal Business Name): MORE PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2007
Last Update Date: 12/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 FOSTER CITY BLVD
FOSTER CITY CA
94404-2228
US

IV. Provider business mailing address

2145 THE ALAMEDA
SAN JOSE CA
95126-1141
US

V. Phone/Fax

Practice location:
  • Phone: 650-571-5185
  • Fax: 650-571-5183
Mailing address:
  • Phone: 408-248-6886
  • Fax: 408-248-4923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. RONALD JOSEPH KAMINSKI
Title or Position: PRESIDENT
Credential: PT, SCS, ATC
Phone: 408-248-6886