Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prunedale Physical Therapy

Organization Specialist · NPI 1053492207

Prunedale Physical Therapy provides Specialist services in Prunedale, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

17823 Countryside Ct
Prunedale, CA 93907-8804 Not confirmed with CMS for 18 years — call before visiting
Phone: (831) 663-8819
Fax: (831) 663-5376
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1053492207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yara Miramontes — Office Manager · (831) 663-8819
NPI enumeratedOctober 17, 2006
Last updated in NPPESNovember 6, 2007
Mailing address17823 Countryside Ct, Prunedale, CA 93907-8804