Healthcare Provider Details

I. General information

NPI: 1033035266
Provider Name (Legal Business Name): ALEXANDRA BANKS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 MORTON ST
ALAMEDA CA
94501-2413
US

IV. Provider business mailing address

1620 MORTON ST
ALAMEDA CA
94501-2413
US

V. Phone/Fax

Practice location:
  • Phone: 510-205-0925
  • Fax:
Mailing address:
  • Phone: 510-205-0925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number306252
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: