Healthcare Provider Details

I. General information

NPI: 1487564175
Provider Name (Legal Business Name): JOINT ACADEMY DIRECT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 CALIFORNIA ST FL 7
SAN FRANCISCO CA
94108-2737
US

IV. Provider business mailing address

2261 MARKET ST STE 95733
SAN FRANCISCO CA
94114-1612
US

V. Phone/Fax

Practice location:
  • Phone: 929-547-6370
  • Fax:
Mailing address:
  • Phone: 929-547-6370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAKOB ERIK TOBIAS DAHLBERG
Title or Position: PRESIDENT
Credential:
Phone: 646-304-9979