Healthcare Provider Details

I. General information

NPI: 1316236599
Provider Name (Legal Business Name): COX PT AND PILATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2011
Last Update Date: 03/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3388 17TH ST 100-C
SAN FRANCISCO CA
94110-7201
US

IV. Provider business mailing address

30 ORD ST
SAN FRANCISCO CA
94114-1415
US

V. Phone/Fax

Practice location:
  • Phone: 415-553-7722
  • Fax:
Mailing address:
  • Phone: 415-553-7722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT32313
License Number StateCA

VIII. Authorized Official

Name: JOHN COX
Title or Position: PRESIDENT
Credential:
Phone: 415-503-0393