Organization Active NPI

Berkeley Physical Therapy Inc

  • Physical Therapist
  • Berkeley, CA
National Provider Identifier
1043314131
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00PT85690 Issued in CA
Legal business name
BERKELEY PHYSICAL THERAPY INC
Practice address
2041 Bancroft Way
Ste 301
Berkeley, CA 94704
Phone
(510) 549-2225
Fax
(510) 549-0741
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Janet Yamada Soto, PT
Title
President
Phone
(510) 549-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 00PT85690 CA Primary

Addresses

Primary practice location

2041 Bancroft Way
Ste 301
Berkeley, CA 94704

Mailing address

2041 Bancroft Way
Ste 301
Berkeley, CA 94704
Phone (510) 549-2225

Other names 1

  • Berkeley Physical Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

2041 Bancroft Way
Ste 301
Berkeley, CA 94704
Phone (510) 549-2225

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043314131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 BANCROFT WAY",
            "address_2": "STE 301",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94704",
            "telephone_number": "510-549-2225",
            "fax_number": "510-549-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 BANCROFT WAY",
            "address_2": "STE 301",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94704",
            "telephone_number": "510-549-2225",
            "fax_number": "510-549-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "YAMADA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-549-2225",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "00PT85690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkeley Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.