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

Lance Michael Supnet, DPT

Individual provider Physical Therapist · NPI 1093558173

Lance Michael Supnet, DPT is a Physical Therapist in Private Practice in San Jose, California. Qualified in 2024, 2 years ago. Practices with Silver Creek Fitness and Physical Therapy, a 38-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4205 San Felipe Rd Ste 100
San Jose, CA 95135-1546
Phone: (408) 238-1552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1093558173
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Silver Creek Fitness And Physical Therapy — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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