Ada Jauregui, DPT

Individual provider Active NPI Physical Therapist · Piedmont, CA

NPI 1013247659 · NPPES record last updated Jul 4, 2018

Key facts

NPI
1013247659
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
36256 (CA)
Practice address
1375 Grand Ave Ste 201
Piedmont, CA 94610
Phone
(510) 863-0567
Fax
(510) 291-2261
NPI assigned
Jan 4, 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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
36256CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Biometric Innovative Options Physical Therapy, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 36256 CA Yes

Addresses

Primary practice location

1375 Grand Ave Ste 201
Piedmont, CA 94610

Mailing address

1375 Grand Ave Ste 201
Piedmont, CA 94610-1077
Phone (510) 863-0567

Other practice location 1

5297A College Ave
Oakland, CA 94618
Phone (510) 547-1630

Other providers in Piedmont, CA

All providers in Piedmont, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.