Healthcare Provider Details

I. General information

NPI: 1649128182
Provider Name (Legal Business Name): SUSAN LUNARDI PHYSICAL THERAPY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

693 MONTEREY BLVD
SAN FRANCISCO CA
94127-2346
US

IV. Provider business mailing address

43 VALLETTA CT
SAN FRANCISCO CA
94131-2827
US

V. Phone/Fax

Practice location:
  • Phone: 650-450-3465
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: SUSAN LUNARDI
Title or Position: OWNER, PRESIDENT
Credential: PT, DPT
Phone: 650-450-3465