OrganizationActive
Prunedale Physical Therapy
NPI 1053492207 · Specialist · Prunedale, CA
Prunedale Physical Therapy is a Specialist organization in Prunedale, CA (NPI 1053492207).
Provider details
- NPI number
- 1053492207
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Yara Miramontes, Office Manager(831) 663-8819
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17823 Countryside Ct
Prunedale, CA 93907-8804
Phone: (831) 663-8819
Fax: (831) 663-5376
Street-level locationGet directions
Mailing address
17823 Countryside Ct
Prunedale, CA 93907-8804
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2007-11-06
Frequently asked questions
- What is Prunedale Physical Therapy's NPI number?
- Prunedale Physical Therapy's National Provider Identifier (NPI) is 1053492207, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prunedale Physical Therapy?
- Prunedale Physical Therapy is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Prunedale Physical Therapy located?
- Prunedale Physical Therapy's practice location on file with NPPES is 17823 Countryside Ct, Prunedale, CA 93907-8804.
- What is Prunedale Physical Therapy's phone number?
- The practice phone number listed in the NPPES registry for Prunedale Physical Therapy is (831) 663-8819.
- Who is the authorized official for Prunedale Physical Therapy?
- The authorized official listed on Prunedale Physical Therapy's NPPES record is Yara Miramontes, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prunedale Physical Therapy's NPI active?
- Yes — Prunedale Physical Therapy's NPI (1053492207) is active in the NPPES registry as of the last update on 2007-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.