Sports & Orthopedic Leaders Physical Therapy, Inc - Medicare Physical Therapist in Oakland, CA

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Sports & Orthopedic Leaders Physical Therapy, Inc is a medicare enrolled "Physical Therapist" provider in Oakland, California. Their current practice location is 4341 Piedmont Ave Ste 201, Oakland, California. You can reach out to their office (for appointments etc.) via phone at (510) 547-1630.

Sports & Orthopedic Leaders Physical Therapy, Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Sports & Orthopedic Leaders Physical Therapy, Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1013981760.

Contact Information

Sports & Orthopedic Leaders Physical Therapy, Inc
4341 Piedmont Ave Ste 201,
Oakland, CA 94611
(510) 547-1630
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSports & Orthopedic Leaders Physical Therapy, Inc
TypeFacility
SpecialityPhysical Therapist
Location4341 Piedmont Ave Ste 201, Oakland, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013981760
  • Provider Enumeration Date: 02/16/2006
  • Last Update Date: 10/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0446146708
  • Enrollment ID: O20090729000913

Medical Identifiers

Medical identifiers for Sports & Orthopedic Leaders Physical Therapy, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013981760NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sports & Orthopedic Leaders Physical Therapy, Inc acts as a billing entity for following providers:
Provider NameCraig A Amack
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205947454
PECOS PAC ID: 4880506252
Enrollment ID: I20031104000267
Provider NameKevin Takao
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922189471
PECOS PAC ID: 0648277061
Enrollment ID: I20061027000283
Provider NameJocelyn Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104937457
PECOS PAC ID: 7810094463
Enrollment ID: I20070516000533
Provider NameNolan P Quinabo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932488228
PECOS PAC ID: 2668619487
Enrollment ID: I20130514000560
Provider NameAngela C Traverso
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659612588
PECOS PAC ID: 6507007127
Enrollment ID: I20130724000769
Provider NameJack Wen Duo Chan-imai
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295137669
PECOS PAC ID: 1658695234
Enrollment ID: I20150131000006
Provider NameDaniel R Hirai
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184020521
PECOS PAC ID: 1355644022
Enrollment ID: I20160129001988
Provider NameMaxim O Neggo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154569085
PECOS PAC ID: 0345545307
Enrollment ID: I20160229002584
Provider NameDanielle Schmutzler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205375110
PECOS PAC ID: 9436434172
Enrollment ID: I20170321001770
Provider NameDevin J Ehrlichman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437692613
PECOS PAC ID: 1759667686
Enrollment ID: I20170407001251
Provider NameIsaac D Perloff
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699298752
PECOS PAC ID: 3577829001
Enrollment ID: I20171115003370
Provider NameBrent Paulo Kobs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679088629
PECOS PAC ID: 4183986318
Enrollment ID: I20180327002242
Provider NameBenjamin Fedewa
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316375132
PECOS PAC ID: 0941437131
Enrollment ID: I20190708002761
Provider NameVincent Vetrone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356805691
PECOS PAC ID: 7719212166
Enrollment ID: I20190708002878
Provider NameAmandine Biagini
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760035224
PECOS PAC ID: 2062740970
Enrollment ID: I20190829002359
Provider NameJayme L Cargnoni
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164079109
PECOS PAC ID: 3577894880
Enrollment ID: I20191016003481
Provider NameJames Albertson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558919944
PECOS PAC ID: 0446682793
Enrollment ID: I20191107001805
Provider NameYung-en Perng
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821644766
PECOS PAC ID: 8426483959
Enrollment ID: I20200110001231
Provider NameChelsea S Nicholas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952942492
PECOS PAC ID: 2668802182
Enrollment ID: I20200424001716
Provider NameGarrett Toy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154943207
PECOS PAC ID: 9234551219
Enrollment ID: I20200619001907
Provider NameShailaja Bulusu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346648144
PECOS PAC ID: 4981029469
Enrollment ID: I20200730002431
Provider NameJohn Paul Guzman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902418205
PECOS PAC ID: 4587082250
Enrollment ID: I20200911001311
Provider NameJennifer Kim
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538771936
PECOS PAC ID: 3274951702
Enrollment ID: I20200916000934
Provider NameJonathan Wei
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871106716
PECOS PAC ID: 0840600938
Enrollment ID: I20201030001140
Provider NameJenny Li
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619575727
PECOS PAC ID: 6507277415
Enrollment ID: I20201125001783
Provider NameAlice Riegert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861088486
PECOS PAC ID: 4486068509
Enrollment ID: I20210202001070
Provider NameJoshua Wasserman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689263402
PECOS PAC ID: 3577971373
Enrollment ID: I20210415001755
Provider NameJessica Ann Matias
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649866583
PECOS PAC ID: 6305245366
Enrollment ID: I20210524001557
Provider NameAnna Basore
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497320287
PECOS PAC ID: 5193120996
Enrollment ID: I20210817001699
Provider NameKrsna Misri
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104588680
PECOS PAC ID: 3678961711
Enrollment ID: I20211022001129
Provider NameBraxton Shapiro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295491504
PECOS PAC ID: 7113316092
Enrollment ID: I20211115002023
Provider NameKi Cheng
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407416910
PECOS PAC ID: 2365837754
Enrollment ID: I20220322001481
Provider NameJohn Tran
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508511387
PECOS PAC ID: 8123415346
Enrollment ID: I20220418001919
Provider NameDavid Goodman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154977965
PECOS PAC ID: 3375872146
Enrollment ID: I20220419000141
Provider NameJordan Patterson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497488894
PECOS PAC ID: 7810379252
Enrollment ID: I20220802003066
Provider NameAttiya Shah
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689302978
PECOS PAC ID: 6608250097
Enrollment ID: I20220902002004
Provider NameAaron David Bass-cetinich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760103766
PECOS PAC ID: 8426433608
Enrollment ID: I20220924000095
Provider NameJames Edward Abellar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669194106
PECOS PAC ID: 1254708324
Enrollment ID: I20221102000495
Provider NameChristine Bagaoisan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679281273
PECOS PAC ID: 5890164917
Enrollment ID: I20221213001470
Provider NameJordan Renee Bomba
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356050090
PECOS PAC ID: 9032580048
Enrollment ID: I20230130000269
Provider NameMarjorie Galema
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316421092
PECOS PAC ID: 8820342892
Enrollment ID: I20230315002587
Provider NameKatrina Charlyn Mananquil
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891316741
PECOS PAC ID: 4183084882
Enrollment ID: I20230712004684
Provider NameOrion Siu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538842844
PECOS PAC ID: 7719341486
Enrollment ID: I20230913003035
Provider NameJessica Elaine Bouchard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528840600
PECOS PAC ID: 0446608988
Enrollment ID: I20231122001463
Provider NameNicholas Steven Duenas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356115265
PECOS PAC ID: 1355799594
Enrollment ID: I20231128002032
Provider NameMonica Louise Crisanto Orosa
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811765662
PECOS PAC ID: 7517317910
Enrollment ID: I20231227003051
Provider NameMario Gabriel Perez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619748696
PECOS PAC ID: 1759734627
Enrollment ID: I20240126001752
Provider NameSean Patrick Foley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346015997
PECOS PAC ID: 5395181440
Enrollment ID: I20240311003892

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sports & Orthopedic Leaders Physical Therapy, Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sports & Orthopedic Leaders Physical Therapy, Inc
4341 Piedmont Ave Ste 201,
Oakland, CA 94611-4792

Ph: (616) 356-5000		Sports & Orthopedic Leaders Physical Therapy, Inc
4341 Piedmont Ave Ste 201,
Oakland, CA 94611

Ph: (510) 547-1630

Reviews and Comments


Physical Therapist in Oakland, CA

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    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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