1285081836 NPI number — FIRST STEP PHYSICAL THERAPY INC

Table of content: SEJAL ASHOK JHATAKIA M.D. (NPI 1871577312)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285081836 NPI number — FIRST STEP PHYSICAL THERAPY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FIRST STEP PHYSICAL THERAPY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285081836
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
650 HOWE AVE STE 505
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SACRAMENTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95825-4732
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-786-7837
Provider Business Mailing Address Fax Number:
916-786-7844

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
650 HOWE AVE STE 505
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95825-4732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-786-7837
Provider Business Practice Location Address Fax Number:
916-786-7844
Provider Enumeration Date:
05/24/2016

Additional Information

Authorized Official

Authorized Official Last Name:
DINAKARAN
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
916-786-7837

Provider Taxonomy Codes

  • Taxonomy code: 2251X0800X , with the licence number:  PT30164 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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