EMERYVILLE SPORTS PHYSICAL THERAPY
NPI 1326527730
Physical Therapist - Orthopedic in Emeryville, CA

Active since August 08, 2018
2322 POWELL ST, EMERYVILLE, CA 94608(626) 825-3739 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2022, Jul 3, 2019, Aug 8, 2018 (3 updates tracked since 2018).

About Emeryville Sports Physical Therapy NPPES

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

EMERYVILLE SPORTS PHYSICAL THERAPY (NPI 1326527730) is a healthcare organization registered as an orthopedic in Emeryville, California and active in the NPI registry since August 2018. The organization lists Or Nativ, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1326527730
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameSTAC PHYSICAL THERAPY EMERYVILLE, INC.
Location Address2322 POWELL STEmeryville, CA 94608-1738
Mailing Address2322 Powell StEmeryville, CA 94608-1738
Organization SubpartNo
Authorized OfficialOr NativClinical Director · (510) 653-5151
Enumeration DateAugust 8, 2018
Last NPPES UpdateJuly 14, 20223 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1326527730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · 33997
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
2322 POWELL ST, Emeryville, CA 94608

Other Names 1

Doing Business AsEmeryville Sports Physical Therapy

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)

Emeryville Sports Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Emeryville Sports Physical Therapy, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (13)

Physical Therapist in Private Practice
NPI 1407463680
2322 POWELL ST
Emeryville, CA 94608
(510) 653-5151
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1588205587
2322 POWELL ST
Emeryville, CA 94608
(510) 653-5151
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1972241107
350 FRANK H OGAWA PLZ STE 300
Oakland, CA 94612
(510) 893-7463
✔ Accepts Medicare2.7 mi
Physical Therapist in Private Practice
NPI 1437692613
4341 PIEDMONT AVE STE 201
Oakland, CA 94611
(510) 547-1630
✔ Accepts Medicare3.0 mi
Physical Therapist in Private Practice
NPI 1841813904
260 PERKINS ST APT 1E
Oakland, CA 94610
(510) 328-3820
✔ Accepts Medicare3.0 mi
Physical Therapist in Private Practice
NPI 1578576476
3718 GRAND AVE STE 15
Oakland, CA 94610
(415) 821-4148
✔ Accepts Medicare3.4 mi
Physical Therapist in Private Practice
NPI 1811305550
2101 SHORELINE DR APT 253
Alameda, CA 94501
(240) 893-8211
✔ Accepts Medicare6.1 mi
Physical Therapist in Private Practice
NPI 1386415560
1200 GOUGH ST
San Francisco, CA 94109
(415) 921-1211
✔ Accepts Medicare7.6 mi
Physical Therapist in Private Practice
NPI 1508511387
13690 E 14TH ST STE 110
San Leandro, CA 94578
(510) 698-6259
✔ Accepts Medicare12 mi
Physical Therapist in Private Practice
NPI 1538831979
1099 D ST STE 105
San Rafael, CA 94901
(415) 532-8335
✔ Accepts Medicare15 mi
Physical Therapist in Private Practice
NPI 1396779443
239 MAIN ST STE B
Pleasanton, CA 94566
(415) 847-7147
✔ Accepts Medicare26 mi
Physical Therapist in Private Practice
NPI 1386184919
341 GALVEZ ST
Stanford, CA 94305
(650) 497-5071
✔ Accepts Medicare29 mi
Physical Therapist in Private Practice
NPI 1336618495
1201 ALHAMBRA BLVD STE 200
Sacramento, CA 95816
(916) 731-7900
✔ Accepts Medicare68 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 Stac Physical Therapy Emeryville, Inc.'s NPI number?

The NPI number for Stac Physical Therapy Emeryville, Inc. is 1326527730. It was assigned to this organization in the NPPES registry on August 8, 2018. The provider is doing business as Emeryville Sports Physical Therapy.

Where is Stac Physical Therapy Emeryville, Inc. located?

Stac Physical Therapy Emeryville, Inc. is located at 2322 Powell St, Emeryville, CA 94608. The listed phone number is (626) 825-3739.

What is Stac Physical Therapy Emeryville, Inc.'s specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Stac Physical Therapy Emeryville, Inc. enrolled in Medicare?

Yes. Stac Physical Therapy Emeryville, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stac Physical Therapy Emeryville, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Stac Physical Therapy Emeryville, Inc.. 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 and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stac Physical Therapy Emeryville, Inc. was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.