Provider Demographics
NPI:1891355541
Name:OASIS PHYSICAL THERAPY AND WELLNESS P.C.
Entity Type:Organization
Organization Name:OASIS PHYSICAL THERAPY AND WELLNESS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:BERMAN
Authorized Official - Last Name:SYLVESTRI
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT, CLT-LANA
Authorized Official - Phone:925-322-0713
Mailing Address - Street 1:2355 SAN RAMON VALLEY BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1597
Mailing Address - Country:US
Mailing Address - Phone:925-322-0713
Mailing Address - Fax:925-322-2732
Practice Address - Street 1:2355 SAN RAMON VALLEY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1597
Practice Address - Country:US
Practice Address - Phone:925-322-0713
Practice Address - Fax:925-322-2732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-15
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty