Mind-Body Movement Center Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MIND-BODY MOVEMENT CENTER PHYSICAL THERAPY INC

Practice address

1124 Ballena Blvd Ste D
Alameda, CA 94501-3655

Phone

(510) 522-2843

NPI assigned

May 13, 2019

Organization subpart

No

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

Authorized official

Name

Tianna Jeannette Meriage-Reiter, PT, DPT, C-IAYTNPI 1619189644

Title

PT, Owner, Ceo

Phone

(510) 522-2843

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tianna Jeannette Meriage-Reiter, PT, DPT, C-IAYT

  • Physical Therapist
  • Alameda, CA
  • NPI 1619189644
  NPD Authorized official

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1093371213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 BALLENA BLVD STE D",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013655",
            "telephone_number": "510-522-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 BALLENA BLVD STE D",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013655",
            "telephone_number": "510-522-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND-BODY MOVEMENT CENTER PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "MERIAGE-REITER",
        "authorized_official_first_name": "TIANNA",
        "authorized_official_middle_name": "JEANNETTE",
        "authorized_official_title_or_position": "PT, OWNER, CEO",
        "authorized_official_telephone_number": "510-522-2843",
        "authorized_official_credential": "PT, DPT, C-IAYT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Mills, LCSW
• Jeanine Mills, RDN
• Katherine A. Mills, DVM
• Megan Mills
• Elizabeth E Milnes, PSY.D.
• Susan E. Minger, MD
• Emma Melissa Miranda-Hernandez
• Alma Karina Miranda
• Noureen Faye Miranda
• Sally Anne Miskelly

• Physical Therapy Clinic/Center in Alameda, CA
• Providers in Alameda, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.