MEDICARE: NAPA VALLEY PHYSICAL THERAPY CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1598869869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAPA VALLEY PHYSICAL THERAPY CENTER INC

Provider Business Mailing Address
First Line	:	433 SOSCOL AVE
Second Line	:	SUITE B 191
City	:	NAPA
State	:	CA
Zip	:	94559-4036
Country	:	US
Telephone Number	:	707-224-3131
Fax Number	:	707-224-2356

Provider Business Practice Location Address
First Line	:	433 SOSCOL AVE
Second Line	:	SUITE B 191
City	:	NAPA
State	:	CA
Zip	:	94559-4036
Country	:	US
Telephone Number	:	707-224-3131
Fax Number	:	707-224-2356

Authorized Official
Title or Position	:	CEO
Name	:	BOBBY ISMAIL
Credential	:	DPT
Telephone Number	:	209-353-1988

Provider Enumeration Date	:	09/08/2006
Last Update Date	:	01/14/2026

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