Pamela Renee Inbar-Hansen, MSPT

Key facts

NPI

1013218320

Entity type

Individual (NPI type 1)

Primary specialty

Neurology Physical Therapist 2251N0400X

License

PT17507 (CA)

Practice address

1356 University Ave
Berkeley, CA 94702-1711

Phone

(510) 845-5537

Fax

(510) 845-5537

NPI assigned

Nov 3, 2010

Sex

Female

Sole proprietor

No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neuro Wellness Neurology Physical Therapist · Berkeley, CA · NPI 1730480633
  NPD (past) Authorized official NEUROLOGY

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 3, 2010.

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1013218320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 UNIVERSITY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021711",
            "telephone_number": "510-845-5537",
            "fax_number": "510-845-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 UNIVERSITY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021711",
            "telephone_number": "510-845-5537",
            "fax_number": "510-845-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INBAR-HANSEN",
        "first_name": "PAMELA",
        "middle_name": "RENEE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "PT17507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Berkeley, CA · Neurology Physical Therapist in California