Active NPI
Neuro Wellness
- Neurology Physical Therapist
- Berkeley, CA
National Provider Identifier
1730480633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- PT17507
- Legal business name
- NEURO WELLNESS
- Practice address
- 1356 University Ave
Berkeley, CA 94702-1711 - Phone
- (510) 845-5537
- Fax
- (510) 845-5537
- NPI assigned
- Nov 9, 2010
- Last updated
- Nov 9, 2010
- 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
- Pamela Renee Inbar-Hansen, MSPT
- Title
- Physical Therapist
- Phone
- (510) 845-5537
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | PT17507 | CA | Primary |
| Neurorehabilitation Occupational Therapist | 225XN1300X | OT5695 | CA |
Addresses
Primary practice location
1356 University Ave
Berkeley, CA 94702-1711
Mailing address
1356 University Ave
Berkeley, CA 94702-1711
Phone (510) 845-5537
National Provider Directory
National Provider DirectoryLocations
1356 University Ave
Berkeley, CA 94702
Phone (510) 845-5537
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Neurology Physical Therapist
- Berkeley, CA
- NPI 1013218320
-
- Neurorehabilitation Occupational Therapist
- Berkeley, CA
- NPI 1992007215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289260800000",
"number": "1730480633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1356 UNIVERSITY AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947021711",
"telephone_number": "510-845-5537",
"fax_number": "510-845-5537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1356 UNIVERSITY AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947021711",
"telephone_number": "510-845-5537",
"fax_number": "510-845-5537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURO WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-09",
"last_updated": "2010-11-09",
"status": "A",
"authorized_official_last_name": "INBAR-HANSEN",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "510-845-5537",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "CA",
"license": "PT17507",
"primary": true
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "CA",
"license": "OT5695",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.