Active NPI
Osteolife
- Physical Therapist
- Oakland, CA
National Provider Identifier
1750443669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- OSTEOLIFE
- Practice address
- 1800 Melvin Rd
Oakland, CA 94602-2025 - Phone
- (925) 487-1025
- Fax
- (925) 931-0778
- NPI assigned
- Dec 15, 2006
- 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
- Ms. Marianne Christine Gibson, M.P.T.
- Title
- Owner
- Phone
- (925) 487-1025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1800 Melvin Rd
Oakland, CA 94602-2025
Mailing address
1800 Melvin Rd
Oakland, CA 94602-2025
Phone (925) 487-1025
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750443669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 MELVIN RD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946022025",
"telephone_number": "925-487-1025",
"fax_number": "925-931-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 MELVIN RD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946022025",
"telephone_number": "925-487-1025",
"fax_number": "925-931-0778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSTEOLIFE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "MARIANNE",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "925-487-1025",
"authorized_official_name_prefix": "Ms.",
"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": [],
"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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.