Active NPI
Alexandra Mohamadi, PT, DPT
- Physical Therapist
- Oakland, CA
National Provider Identifier
1205476520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT297243
- Practice address
- 3718 Grand Ave Ste 15
Oakland, CA 94610-1544 - Phone
- (510) 893-8878
- NPI assigned
- Jan 14, 2020
- 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 | PT297243 | CA | Primary |
Addresses
Primary practice location
3718 Grand Ave Ste 15
Oakland, CA 94610-1544
Mailing address
1025 Filbert St
Oakland, CA 94607-2723
Phone (916) 832-0900
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT297243 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sansum Clinic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Santa Barbara, CA
- NPI 1144648015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1205476520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 FILBERT ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946072723",
"telephone_number": "916-832-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3718 GRAND AVE STE 15",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946101544",
"telephone_number": "510-893-8878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMADI",
"first_name": "ALEXANDRA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-14",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT297243",
"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 Jan 14, 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.