Individual provider Active NPI

Tianna Jeannette Meriage-Reiter, PT, DPT, C-IAYT

  • Physical Therapist
  • Alameda, CA
National Provider Identifier
1619189644
Registry record updated Oct 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33253 Issued in CA
Practice address
1124 Ballena Blvd Ste D
Alameda, CA 94501-3655
Phone
(510) 522-2843
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 33253 CA Primary

Addresses

Primary practice location

1124 Ballena Blvd Ste D
Alameda, CA 94501-3655

Mailing address

1124 Ballena Blvd Ste D
Alameda, CA 94501-3655
Phone (510) 522-2843

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

LicenseStateTypeSpecialty
33253CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind-Body Movement Center Physical Therapy Inc Current Accepting new patients

Locations

1124 Ballena Blvd
Ste D
Alameda, CA 94501
Phone (510) 522-2843

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508544000000",
    "number": "1619189644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 BALLENA BLVD STE D",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013655",
            "telephone_number": "510-522-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 BALLENA BLVD STE D",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013655",
            "telephone_number": "510-522-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIAGE-REITER",
        "first_name": "TIANNA",
        "middle_name": "JEANNETTE",
        "name_prefix": "Miss",
        "credential": "PT, DPT, C-IAYT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2017-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33253",
            "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 Oct 21, 2017; 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.