Healthcare Provider Details

I. General information

NPI: 1477637650
Provider Name (Legal Business Name): SCARPELLI AND KAKEHASHI PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 18TH ST SUITE 102
SAN FRANCISCO CA
94114-2470
US

IV. Provider business mailing address

4200 18TH ST SUITE 102
SAN FRANCISCO CA
94114-2470
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number8498
License Number StateCA

VIII. Authorized Official

Name: MS. ELIZABETH SCARPELLI
Title or Position: OWNER/PARTNER
Credential: PT
Phone: 415-626-1929