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BAY MTU NPI 1699824557


NPI Information

NPI: 1699824557
Provider Name: BAY MTU

Doing Business As: ALAMEDA COUNTY CCS

Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
2001 BOCKMAN RD
BAY SCHOOL, ROOM 25
SAN LORENZO, CA
ZIP 94580
Phone: (510) 317-4355
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BAY MTU is a pediatrics physical therapist in San Lorenzo, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. BAY MTU NPI is 1699824557. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Alameda County Ccs.

The provider's business location address is:

2001 BOCKMAN RD
BAY SCHOOL, ROOM 25
SAN LORENZO, CA
ZIP 94580-903
Phone: (510) 317-4355
Fax: (510) 278-8246

The provider's authorized official is Susan L Johnson .
The authorized official title is Chief Therapist and has the following contact phone number (510) 267-3278.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatricsCALIFORNIAYes
2225XP0200XOccupational TherapistPediatricsCALIFORNIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CCS00034FOTHERCALIFORNIACCS PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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