Organization Active NPI

Breadth Physical Therapy & Wellness, Inc.

  • Physical Therapist
  • El Cerrito, CA
National Provider Identifier
1336056084
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BREADTH PHYSICAL THERAPY & WELLNESS, INC.
Practice address
501 Kearney St
El Cerrito, CA 94530-3520
Phone
(510) 603-3424
NPI assigned
Aug 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Nina Luu, PT, DPT
Title
Founder
Phone
(510) 603-3424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

501 Kearney St
El Cerrito, CA 94530-3520

Mailing address

501 Kearney St
El Cerrito, CA 94530-3520

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1336056084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 KEARNEY ST",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KEARNEY ST",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303520",
            "telephone_number": "510-603-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREADTH PHYSICAL THERAPY & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "510-603-3424",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cerrito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.