Active NPI
Flex Physical Therapy and Fitness
- Physical Therapist
- Oakland, CA
National Provider Identifier
1689690836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- FLEX PHYSICAL THERAPY AND FITNESS
- Practice address
- 4266 Broadway
Oakland, CA 94611-5130 - Phone
- (510) 655-3060
- Fax
- (510) 655-2065
- NPI assigned
- Jul 14, 2006
- Last updated
- Apr 18, 2008
- 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
- Mrs. Pamela B Wain, M.P.T
- Title
- Physical Therapist
- Phone
- (510) 655-3060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4266 Broadway
Oakland, CA 94611-5130
Mailing address
4266 Broadway
Oakland, CA 94611-5130
Phone (510) 655-3060
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18003 | Other | CA | PHYSICAL THERAPIST |
| 27339 | Other | CA | PHYSICAL THERAPIST |
| 23332 | Other | CA | PHYSICAL THERAPIST |
Other names 1
- Flex Physical Therapy and Fitness
National Provider Directory
National Provider DirectoryLocations
4266 Broadway
Oakland, CA 94611
Phone (510) 655-3060
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Oakland, CA
- NPI 1164509907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208476800000",
"number": "1689690836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4266 BROADWAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115130",
"telephone_number": "510-655-3060",
"fax_number": "510-655-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4266 BROADWAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115130",
"telephone_number": "510-655-3060",
"fax_number": "510-655-2065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLEX PHYSICAL THERAPY AND FITNESS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2008-04-18",
"status": "A",
"authorized_official_last_name": "WAIN",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "510-655-3060",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.P.T"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "18003",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "27339",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "23332",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Flex Physical Therapy and Fitness",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.