Healthcare Provider Details

I. General information

NPI: 1053711838
Provider Name (Legal Business Name): TEAMWORK SPEECH THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2014
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 RAY ST
PLEASANTON CA
94566-6621
US

IV. Provider business mailing address

311 RAY ST
PLEASANTON CA
94566-6621
US

V. Phone/Fax

Practice location:
  • Phone: 925-399-5796
  • Fax: 209-362-4875
Mailing address:
  • Phone: 925-399-5796
  • Fax: 209-362-4875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License NumberSP 13296
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SANDHYA PADMANABHAN
Title or Position: OWNER / SLP
Credential:
Phone: 925-470-6948