MEDICARE: DR. KELVIN CABATU PT, DPT

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	2251X0800X	Orthopedic Physical Therapist	309852	CA

General Provider Information

NPI Number	:	1891643557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELVIN CABATU PT, DPT

Provider Business Mailing Address
First Line	:	569 OLDBROOK CT
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95111-2550
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1045 E BROKAW RD
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95131-2310
Country	:	US
Telephone Number	:	669-842-4989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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