Healthcare Provider Details

I. General information

NPI: 1003795162
Provider Name (Legal Business Name): CHOICE PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 18TH ST STE 102
SAN FRANCISCO CA
94114-2449
US

IV. Provider business mailing address

4200 18TH ST STE 102
SAN FRANCISCO CA
94114-2449
US

V. Phone/Fax

Practice location:
  • Phone: 415-626-1929
  • Fax:
Mailing address:
  • Phone: 415-626-1929
  • Fax: 415-626-2607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CYNTHIA ROSE KOCH
Title or Position: DOCTOR OF PHYSICAL THERAPY
Credential: PT, DPT
Phone: 415-269-9373