| Organization Name: | EAST BAY PHYSICAL THERAPY, INC. |
| NPI Number: | 1750592044 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW MICHAEL SCERRI (ADMINISTRATOR) |
| Mailing Address: | 2339 Buchanan Rd Antioch |
| State: | CA US |
| Postal Code: | 945094402 |
| Phone Number: | 9257770964 |
| Fax Number: | 9257771120 |
| NPI Enumeration Date: | 05/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 12835 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |