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: 09/17/2025
  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 NameKarma Sage-johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598779076
PECOS PAC ID: 7517857055
Enrollment ID: I20040317001556
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 NameJeff Wayne Alves
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750488086
PECOS PAC ID: 3678503828
Enrollment ID: I20111130000045
Provider NameEve A Martinez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992913875
PECOS PAC ID: 9739355470
Enrollment ID: I20111230000579
Provider NameWilliam J Martinez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962509299
PECOS PAC ID: 1951331107
Enrollment ID: I20120120000186
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 NameDevin J Ehrlichman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437692613
PECOS PAC ID: 1759667686
Enrollment ID: I20170407001251
Provider NameAmandine Biagini
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760035224
PECOS PAC ID: 2062740970
Enrollment ID: I20190829002359
Provider NameYung-en Perng
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821644766
PECOS PAC ID: 8426483959
Enrollment ID: I20200110001231
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 NameJessica Ann Matias
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649866583
PECOS PAC ID: 6305245366
Enrollment ID: I20210524001557
Provider NameKenny Truong
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699343483
PECOS PAC ID: 6002214947
Enrollment ID: I20211007002007
Provider NameBraxton Shapiro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295491504
PECOS PAC ID: 7113316092
Enrollment ID: I20211115002023
Provider NameJohn Tran
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508511387
PECOS PAC ID: 8123415346
Enrollment ID: I20220418001919
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 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 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
Provider NameTatum Jo Wong
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528895984
PECOS PAC ID: 8022549658
Enrollment ID: I20241007001149
Provider NameNatalia Binnewies Castillo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073331120
PECOS PAC ID: 8628509056
Enrollment ID: I20241009001066
Provider NameYi-an Hou
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528876463
PECOS PAC ID: 9537697057
Enrollment ID: I20250113000842
Provider NameJasmine K Sandhu
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457149932
PECOS PAC ID: 0143747378
Enrollment ID: I20250509002954

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    
Miss Denitza V Hristova, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
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    
Alison Taba, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5297 College Ave, Oakland, CA 94618
Phone: 510-547-1630    Fax: 510-923-1944

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.