Active NPI
Alameda Fitness & Rehab
- Physical Therapist
- Corpus Christi, TX
National Provider Identifier
1306808134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 649790000
- Legal business name
- ALAMEDA FITNESS & REHAB
- Practice address
- 5017 Saratoga Blvd Ste 139
Corpus Christi, TX 78413-2841 - Phone
- (361) 814-4800
- Fax
- (361) 814-4830
- NPI assigned
- Apr 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bradley S Walker, PT
- Title
- Clinical Director
- Phone
- (361) 814-4800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 649790000 | TX | Primary |
Addresses
Primary practice location
5017 Saratoga Blvd Ste 139
Corpus Christi, TX 78413-2841
Mailing address
5017 Saratoga Blvd Ste 139
Corpus Christi, TX 78413-2841
Phone (361) 814-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0055JN | Other | TX | BCBS |
National Provider Directory
National Provider Directory- Tax ID family
- Alameda Fitness Rehab
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Therapist
- Corpus Christi, TX
- NPI 1780648857
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Corpus Christi, TX
- NPI 1366621310
-
- Occupational Therapist
- Corpus Christi, TX
- NPI 1356408553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283126400000",
"number": "1306808134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5017 SARATOGA BLVD STE 139",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784132841",
"telephone_number": "361-814-4800",
"fax_number": "361-814-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5017 SARATOGA BLVD STE 139",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784132841",
"telephone_number": "361-814-4800",
"fax_number": "361-814-4830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAMEDA FITNESS & REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-05",
"last_updated": "2010-08-30",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "361-814-4800",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "TX",
"license": "649790000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0055JN",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.