SPORTS AND ORTHOPEDIC SPECIALISTS
NPI 1104914597
Physical Therapist in Oakland, CA

Active since October 11, 2006
6300 TELEGRAPH AVE, OAKLAND, CA 94609(510) 547-8293(510) 547-2102 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sports And Orthopedic Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPORTS AND ORTHOPEDIC SPECIALISTS (NPI 1104914597) is a healthcare organization registered as a physical therapist in Oakland, California and active in the NPI registry since October 2006. The organization lists John Richard King, Owner, as its authorized official.

NPPES Registry Identity

NPI1104914597
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameSPORTS AND ORTHOPEDIC SPECIALISTS
Location Address6300 TELEGRAPH AVEOakland, CA 94609-1329
Mailing Address6300 Telegraph AveOakland, CA 94609-1329 · (510) 547-8293 · Fax (510) 547-2102
Fax(510) 547-2102
Organization SubpartNo
Authorized OfficialJohn Richard KingOwner · (510) 547-8293
Enumeration DateOctober 11, 2006
Last NPPES UpdateApril 28, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1104914597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
6300 TELEGRAPH AVE, Oakland, CA 94609

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sports And Orthopedic Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Sports And Orthopedic Specialists, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Physical Therapist in Private Practice
NPI 1871692566
6300 TELEGRAPH AVE
Oakland, CA 94609
(510) 547-8293
Same address
Physical Therapist in Private Practice
NPI 1194804963
6300 TELEGRAPH AVE
Oakland, CA 94609
(510) 547-8293
Same address
Physical Therapist in Private Practice
NPI 1245565670
1510 SEABRIGHT AVE
Santa Cruz, CA 95062
(831) 425-3588
62 mi
Physical Therapist in Private Practice
NPI 1609914985
1030 N CLARK ST SUITE 500
Chicago, IL 60610
(312) 238-7711
1,849 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sports And Orthopedic Specialists's NPI number?

The NPI number for Sports And Orthopedic Specialists is 1104914597. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Sports And Orthopedic Specialists located?

Sports And Orthopedic Specialists is located at 6300 Telegraph Ave, Oakland, CA 94609. The listed phone number is (510) 547-8293.

What is Sports And Orthopedic Specialists's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Sports And Orthopedic Specialists enrolled in Medicare?

Yes. Sports And Orthopedic Specialists is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sports And Orthopedic Specialists?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Sports And Orthopedic Specialists. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sports And Orthopedic Specialists was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.