Organization Active NPI

Oakland Manual Therapy

  • Massage Therapist
  • Oakland, CA
National Provider Identifier
1669776688
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
OAKLAND MANUAL THERAPY
Practice address
2939 Summit St
Ste 302
Oakland, CA 94609-3404
Phone
(510) 763-8133
Fax
(510) 763-8133
NPI assigned
Jan 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Authorized official

Name
Randall K Lind, C.M.T.
Title
Clinical and Education Director
Phone
(510) 763-8133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

2939 Summit St
Ste 302
Oakland, CA 94609-3404

Mailing address

2939 Summit St
Ste 302
Oakland, CA 94609-3404
Phone (510) 763-8133

National Provider Directory

National Provider Directory

Locations

2939 Summit St
Ste 302
Oakland, CA 94609
Phone (510) 763-8133

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1669776688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 SUMMIT ST",
            "address_2": "STE 302",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093404",
            "telephone_number": "510-763-8133",
            "fax_number": "510-763-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 SUMMIT ST",
            "address_2": "STE 302",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093404",
            "telephone_number": "510-763-8133",
            "fax_number": "510-763-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND MANUAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "LIND",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL AND EDUCATION DIRECTOR",
        "authorized_official_telephone_number": "510-763-8133",
        "authorized_official_credential": "C.M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.