BROOKE FANTIN (NPI# 1043851231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043851231 |
| Entity Type | Individual |
| Full Name | BROOKE FANTIN |
| Credential | PT, DPT |
| Practice Address |
384 Embarcadero W Oakland CA 94607-3735 |
| Mailing Address |
1930 Filbert St Apt E Oakland CA 94607-6404 |
| Practice Telephone | 5104659565 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
384 EMBARCADERO W |
| City | OAKLAND |
| State | CA |
| Zip Code | 94607-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679548481 | Myesha A. Taylor | Specialist/Technologist | 384 Embarcadero W, Oakland, CA 94607-3731 | 2006-02-23 |
| 1619242393 | Tarquin Alwattar | Nurse Practitioner | 384 Embarcadero W, Oakland, CA 94607-3735 | 2012-03-14 |
| 1417116294 | Ranyelle C. Ramos | Preventive Medicine | 384 Embarcadero W, Oakland, CA 94607-3731 | 2008-06-05 |
| 1659559094 | Michael Patrick Gallagher | General Practice | 384 Embarcadero W, Oakland, CA 94607-3735 | 2008-02-07 |
| 1447439765 | William J Hopper | Preventive Medicine | 384 Embarcadero W, 3rd Floor, Oakland, CA 94607-3731 | 2007-11-02 |
| 1275729360 | Elyssa Wasserberg | Preventive Medicine | 384 Embarcadero W, Oakland, CA 94607-3731 | 2007-09-21 |
| 1639365497 | Dennis Alan James | Physician Assistant | 384 Embarcadero W, Oakland, CA 94607-3735 | 2007-09-14 |
| 1932319142 | Dinesh Govindarao | Preventive Medicine | 384 Embarcadero W, Oakland, CA 94607-3731 | 2007-05-23 |
| 1316068711 | Rodney J. Carreon | Physical Therapy Assistant | 384 Embarcadero W, Oakland, CA 94607-3731 | 2007-04-03 |
| 1588789242 | Anthony J Young | Physical Therapist | 384 Embarcadero W, Oakland, CA 94607-3731 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1053947812 | Deanna Karraa | Registered Nurse | 1111 Jackson 6th Floor, Oakland, CA 94607 | 2020-03-12 |
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1912422528 | Maria H Cho | Registered Nurse | 2511 Market St, Oakland, CA 94607 | 2017-08-04 |
| Find all providers in zip 94607 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1053559120 | Bryan Ernest Templeman | Physical Therapist | 3239 Kempton Ave, Apt (, Oakland, CA 94611-5883 | 2009-01-28 |
| 1821214354 | Edith Leighton Murphy | Physical Therapist | 373 Hanover Ave, Oakland, CA 94606-1372 | 2007-04-17 |
| 1760007603 | Kurt Weinmann | Physical Therapist | 340 Ramapo Valley Rd, Oakland, NJ 07436-2711 | 2020-06-16 |
| 1053953307 | Binh Nguyen | Physical Therapist | 3701 Broadway, Oakland, CA 94611-5613 | 2019-10-08 |
| 1962973040 | Henry George Goh | Physical Therapist | 3701 Broadway, Oakland, CA 94611-5613 | 2018-12-16 |
| 1316496854 | Kelsey Michelle Coles | Physical Therapist | 6116 Medau Pl, Oakland, CA 94611-2809 | 2016-09-26 |
| 1457784340 | Richard O Peterson | Physical Therapist | 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | 2013-08-14 |
| 1124395819 | Jon Simon Mayo | Physical Therapist | 1814 Franklin St, 905, Oakland, CA 94612-3487 | 2011-11-22 |
| 1679759203 | Taylor & Thornburg Physical Therapy, Inc. | Physical Therapist | 3718 Grand Ave, Suite 15, Oakland, CA 94610-1544 | 2008-01-14 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.