Healthcare Provider Details

I. General information

NPI: 1154622942
Provider Name (Legal Business Name): SCATES HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2010
Last Update Date: 08/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 LINCOLN RD E
VALLEJO CA
94591-8206
US

IV. Provider business mailing address

1933 BANYON CMN
LIVERMORE CA
94550-4787
US

V. Phone/Fax

Practice location:
  • Phone: 707-648-3144
  • Fax: 707-644-0630
Mailing address:
  • Phone: 925-518-4964
  • Fax: 925-245-0334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT27031
License Number StateCA

VIII. Authorized Official

Name: MICHAEL B. SCATES
Title or Position: PRESIDENT/CHIEF EXECUTIVE OFFICER
Credential: PT, MS, DPT
Phone: 925-518-4964