Organization Active NPI

MVP Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Alameda, CA
National Provider Identifier
1407660509
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MVP PHYSICAL THERAPY AND WELLNESS
Practice address
1726 Clement Ave
Alameda, CA 94501-1205
Phone
(510) 910-2619
NPI assigned
Feb 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Andrea Long, MPT, CSCSNPI 1194804963
Title
Owner
Phone
(510) 910-2619

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1726 Clement Ave
Alameda, CA 94501-1205

Mailing address

2601 Blanding Ave Ste C-241
Alameda, CA 94501-1579

National Provider Directory

National Provider Directory

Locations

1726 Clement Ave
Alameda, CA 94501
Phone (510) 910-2619

2601 Blanding Ave
Ste C241
Alameda, CA 94501

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1407660509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 BLANDING AVE STE C-241",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 CLEMENT AVE",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011205",
            "telephone_number": "510-910-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-910-2619",
        "authorized_official_credential": "MPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.