Organization Active NPI

Pilates - Physical Therapy & Pilates Corp

  • Physical Therapy Clinic/Center
  • Oakland, CA
National Provider Identifier
1992218887
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
32202 Issued in CA
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

Updated by the provider on Nov 14, 2017

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.