Active NPI
Stephanie Hines, PT
- Physical Therapist
- Oakland, CA
National Provider Identifier
1073167979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 37948
- Practice address
- 350 Hawthorne Ave FL 2
Oakland, CA 94609-3108 - Phone
- (510) 869-6320
- NPI assigned
- Jul 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 37948 | CA | Primary |
Addresses
Primary practice location
350 Hawthorne Ave FL 2
Oakland, CA 94609-3108
Mailing address
115 Saint Albans Rd
Kensington, CA 94708-1034
Phone (510) 388-9344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37948 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1073167979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 SAINT ALBANS RD",
"city": "KENSINGTON",
"state": "CA",
"postal_code": "947081034",
"telephone_number": "510-388-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HAWTHORNE AVE FL 2",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093108",
"telephone_number": "510-869-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "STEPHANIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-29",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "37948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.