Berkeley Community Physical Therapy Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BERKELEY COMMUNITY PHYSICAL THERAPY INC

Practice address

1834 University Ave
Berkeley, CA 94703-1516

Phone

(510) 549-2225

Fax

(510) 549-0741

NPI assigned

Apr 12, 2019

Organization subpart

No

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

Authorized official

Name

Negeene Mosaed, PTNPI 1316193311

Title

Proprietor

Phone

(510) 549-2225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Negeene Mosaed, PT

  • Physical Therapist
  • Palm Desert, CA
  • NPI 1316193311
  Medicare reassignment Care Compare group NPD Authorized official
• Leslie Anne Carter, PT

  • Physical Therapist
  • Sherman Oaks, CA
  • NPI 1902120959
  Medicare reassignment Care Compare group NPD
• Scott Smith, PT

  • Physical Therapist
  • Haleiwa, HI
  • NPI 1477623601

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1043773385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 UNIVERSITY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031516",
            "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": "1834 UNIVERSITY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031516",
            "telephone_number": "510-549-2225",
            "fax_number": "510-549-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY COMMUNITY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "MOSAED",
        "authorized_official_first_name": "NEGEENE",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "510-549-2225",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berkeley Addiction Treatment Services
• Berkeley Analytics
• Berkeley Bone Imaging, LLC
• Berkeley Chiropractic Clinic
• Berkeley Community Health Project
• Berkeley Emergency Medical Group, Inc.
• Berkeley Endocrine Clinic, Inc.
• Berkeley Foot and Ankle Podiatry Group, Inc
• Berkeley Foot Clinic Podiatry Group a Professional Corporation
• Berkeley Foot Specialists

• Physical Medicine & Rehabilitation Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.