Active NPI
Pilates - Physical Therapy & Pilates Corp
- Physical Therapy Clinic/Center
- Oakland, CA
National Provider Identifier
1992218887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 32202
- Legal business name
- PILATES - PHYSICAL THERAPY & PILATES CORP
- Practice address
- 2345 Broadway
Oakland, CA 94612-2414 - Phone
- (510) 545-6586
- NPI assigned
- Nov 14, 2017
- 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
- Magda Anne Boulay, DPT
- Title
- Physical Therapist, Owner
- Phone
- (510) 545-6586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 32202 | CA | Primary |
Addresses
Primary practice location
2345 Broadway
Oakland, CA 94612-2414
Mailing address
2568 Maxwell Ave
Oakland, CA 94601-5522
Phone (510) 717-4424
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510617600000",
"number": "1992218887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2568 MAXWELL AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946015522",
"telephone_number": "510-717-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 BROADWAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946122414",
"telephone_number": "510-545-6586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PILATES - PHYSICAL THERAPY & PILATES CORP",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-14",
"last_updated": "2017-11-14",
"status": "A",
"authorized_official_last_name": "BOULAY",
"authorized_official_first_name": "MAGDA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
"authorized_official_telephone_number": "510-545-6586",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CA",
"license": "32202",
"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 Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.