Healthcare Provider Details

I. General information

NPI: 1205112174
Provider Name (Legal Business Name): PRENDERGAST AND RUMMER PHYS THERAPY PELVIC HEALTH & REHABILIATION CTR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2011
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 VAN NESS AVE STE 603
SAN FRANCISCO CA
94109
US

IV. Provider business mailing address

32 DANIEL WEBSTER HWY STE 16
MERRIMACK NH
03054-4860
US

V. Phone/Fax

Practice location:
  • Phone: 415-440-7600
  • Fax: 415-440-6803
Mailing address:
  • Phone: 35-899-1846
  • Fax: 603-417-7135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number27193
License Number StateCA

VIII. Authorized Official

Name: ELIZABETH HANDAN AKINCILAR
Title or Position: PRESIDENT
Credential:
Phone: 415-694-2191