Healthcare Provider Details

I. General information

NPI: 1316509557
Provider Name (Legal Business Name): ELIZABETH M POPOLIZIO PT, DPT, NCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2019
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 ORTEGA ST
SAN FRANCISCO CA
94122-4623
US

IV. Provider business mailing address

501 ORTEGA ST
SAN FRANCISCO CA
94122-4623
US

V. Phone/Fax

Practice location:
  • Phone: 408-504-6045
  • Fax:
Mailing address:
  • Phone: 408-504-6045
  • Fax: 415-712-0027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License NumberPT41832
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: