Mountainside Mobile Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOUNTAINSIDE MOBILE PHYSICAL THERAPY INC

Practice address

114 Granite Way
Oakley, CA 94561-6049

Phone

(925) 233-5522

NPI assigned

Nov 22, 2023

Last updated

Nov 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thisbe Coleman, PT

Title

Owner

Phone

(925) 233-5522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1215702980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DEL ANTICO AVE #1315",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "94561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 GRANITE WAY",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945616049",
            "telephone_number": "925-233-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSIDE MOBILE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "THISBE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-233-5522",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Oakley, CA
• Providers in Oakley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.