Organization Active NPI

Probalance, Inc.

  • Physical Therapy Clinic/Center
  • Alameda, CA
National Provider Identifier
1982852968
Registry record updated Aug 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT-21378 Issued in CA
Legal business name
PROBALANCE, INC.
Practice address
2213 Harbor Bay Pkwy
Alameda, CA 94502-3026
Phone
(510) 523-1900
Fax
(510) 523-2673
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2015

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

Authorized official

Name
Ms. Ada Wells, P.T.NPI 1316314578
Title
Owner
Phone
(510) 523-1900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT-21378 CA Primary

Addresses

Primary practice location

2213 Harbor Bay Pkwy
Alameda, CA 94502-3026

Mailing address

2213 Harbor Bay Pkwy
Alameda, CA 94502-3026
Phone (510) 523-1900

Other names 1

  • ProBalance Physical Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

2213 Harbor Bay Pkwy
Alameda, CA 94502
Phone (510) 523-1900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440201600000",
    "number": "1982852968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 HARBOR BAY PKWY",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945023026",
            "telephone_number": "510-523-1900",
            "fax_number": "510-523-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 HARBOR BAY PKWY",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945023026",
            "telephone_number": "510-523-1900",
            "fax_number": "510-523-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROBALANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2015-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "ADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-523-1900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT-21378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProBalance Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2015; 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.