=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558450411
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RHONDA FIGONE DPT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/11/2006
-----------------------------------------------------
Last Update Date | 12/03/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 80 STONE PINE RD STE 101B
-----------------------------------------------------
City | HALF MOON BAY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94019-1787
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-730-3877
-----------------------------------------------------
Fax | 650-618-1718
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 80 STONE PINE RD STE 101B
-----------------------------------------------------
City | HALF MOON BAY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94019-1787
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 650-618-1718
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | PT28688
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------