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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36256 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biometric Innovative Options Physical Therapy, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Constance Colton Herrick
- Linda Hirshfeld
- Michelle Hoang
- Emily Huston
- Samuel Jaramillo
- Carlos B Johnson
- Cindy Ann Kahan
- Erik Vincent Kahn
- Cynthia G Kane
- Rachel Faye Kaplan
All providers in Piedmont, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.