Pacific Orthopedic Therapy Group

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

PACIFIC ORTHOPEDIC THERAPY GROUP

Practice address

5915 Hollis St
BLDG a
Emeryville, CA 94608

Phone

(510) 923-0700

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer Gray

Title

Manager

Phone

(925) 803-0224

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1043889306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 B ST",
            "address_2": "SUITE 250",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 HOLLIS ST",
            "address_2": "BLDG A",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "94608",
            "telephone_number": "510-923-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC ORTHOPEDIC THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "925-803-0224"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Overton
• Erik Lars Owen, M.D.
• Jonice Mae Owen, D.C.
• Precious M. L. Owens
• Pacific Orthopaedic & Sports Rehabilitation
• Pact, an Adoption Alliance
• Susie Paik, P.A.-C
• Pain and Rehabilitative Consultants Medical Group
• Nare Panossian, PA-C
• Nicole Elizabeth Pariser

• Orthopedic Physical Therapist in Emeryville, CA
• Providers in Emeryville, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.