Organization Active NPI

Flex Physical Therapy and Fitness

  • Physical Therapist
  • Oakland, CA
National Provider Identifier
1689690836
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
18003OtherCAPHYSICAL THERAPIST
27339OtherCAPHYSICAL THERAPIST
23332OtherCAPHYSICAL THERAPIST

Other names 1

  • Flex Physical Therapy and Fitness Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.