NPI Code Details Logo

NPI 1003795162

NPI 1003795162 : CHOICE PHYSICAL THERAPY INC : SAN FRANCISCO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1003795162
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CHOICE PHYSICAL THERAPY INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/01/2025
-----------------------------------------------------
    Last Update Date     |    10/27/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4200 18TH ST STE 102 
-----------------------------------------------------
    City                 |    SAN FRANCISCO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94114-2449
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    415-626-1929
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4200 18TH ST STE 102 
-----------------------------------------------------
    City                 |    SAN FRANCISCO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94114-2449
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    415-626-1929
-----------------------------------------------------
    Fax                  |    415-626-2607
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DOCTOR OF PHYSICAL THERAPY
-----------------------------------------------------
    Name                 |     CYNTHIA ROSE KOCH 
-----------------------------------------------------
    Credential           |    PT, DPT
-----------------------------------------------------
    Telephone            |    415-269-9373
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.