NPIMap

Organization Active NPI

Physical Therapy Innovations, Inc.

  • Physical Therapist
  • Oakland, CA
National Provider Identifier
1710021993
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY INNOVATIONS, INC.
Practice address
1922 Webster St
Suite B
Oakland, CA 94612-2910
Phone
(510) 271-4793
Fax
(510) 525-2875
NPI assigned
Feb 19, 2007
Last updated
Aug 23, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSICAL THERAPY INNOVATIONS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Authorized official

Name
Mr. Allen L Ling, M.P.T.NPI 1700920931
Title
PT/President
Phone
(510) 524-2177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1922 Webster St
Suite B
Oakland, CA 94612-2910

Mailing address

425 Kearney St
El Cerrito, CA 94530-3656
Phone (510) 524-2177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324001870 CA Part B Supplier - Clinic/Group Practice 9537051743 Receives reassigned benefits from 9 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: El Cerrito, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Physical Therapy Innova

Locations

425 Kearney St
El Cerrito, CA 94530
Phone (510) 524-2177

1922 Webster St
Ste B
Oakland, CA 94612
Phone (510) 271-4793

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1710021993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 KEARNEY ST",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303656",
            "telephone_number": "510-524-2177",
            "fax_number": "510-525-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 WEBSTER ST",
            "address_2": "SUITE B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122910",
            "telephone_number": "510-271-4793",
            "fax_number": "510-525-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY INNOVATIONS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICAL THERAPY INNOVATIONS, INC.",
        "enumeration_date": "2007-02-19",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "LING",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PT/PRESIDENT",
        "authorized_official_telephone_number": "510-524-2177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical 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 Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.