Healthcare Provider Details

I. General information

NPI: 1407434475
Provider Name (Legal Business Name): BATEMAN PHYSICAL THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2610 CROW CANYON RD STE 320
SAN RAMON CA
94583-1768
US

IV. Provider business mailing address

2610 CROW CANYON RD STE 320
SAN RAMON CA
94583-1768
US

V. Phone/Fax

Practice location:
  • Phone: 925-596-9830
  • Fax: 925-215-2290
Mailing address:
  • Phone: 925-596-9830
  • Fax: 925-215-2290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JAMES WILLIAM BATEMAN
Title or Position: MANAGER
Credential: PT, DPT
Phone: 925-783-9043