Mr John Richard King, PT | |
6300 Telegraph Ave, Oakland, CA 94609-1329 | |
(510) 547-8293 | |
Not Available |
Full Name | Mr John Richard King |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 6300 Telegraph Ave, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487751731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 11294 (California) | Primary |
Provider Name | Sports And Orthopedic Specialists |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104914597 PECOS PAC ID: 6002862562 Enrollment ID: O20090416000157 |
Mailing Address | Practice Location Address |
---|---|
Mr John Richard King, PT 5900 Estates Drive, Oakland, CA 94611-3114 Ph: (510) 339-3197 | Mr John Richard King, PT 6300 Telegraph Ave, Oakland, CA 94609-1329 Ph: (510) 547-8293 |
Eric Biglang-awa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1814 Franklin St, Suite 905, Oakland, CA 94612 Phone: 510-893-7463 | |
Suzanne P Whitcomb, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Mr. Matthew Gabrielson, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6221 | |
Tammara J Moore, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4341 Piedmont Ave Ste 201, Oakland, CA 94611 Phone: 510-547-1630 Fax: 510-923-1944 | |
Miss Denitza V Hristova, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 | |
Barbara Chan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-655-4000 | |
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4341 Piedmont Ave Ste 201, Oakland, CA 94611 Phone: 510-547-1630 |