Sports and Orthopedic Specialists
NPI 1104914597ActiveOrganization· Physical Therapist· Oakland, CA
Physical Therapist in Oakland, California, registered in NPPES in October 2006. The authorized official on file is John Richard King, P.T., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104914597 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2006 |
| Last updated in NPPES | Apr 28, 2026 |
| Certified by provider | Apr 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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