Organization Active NPI

Sports & Orthopedic Leaders Physical Therapy, Inc

  • Physical Therapist
  • Oakland, CA
National Provider Identifier
1013981760
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORTS & ORTHOPEDIC LEADERS PHYSICAL THERAPY, INC
Practice address
4341 Piedmont Ave Ste 201
Oakland, CA 94611
Phone
(510) 547-1630
NPI assigned
Feb 16, 2006
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard Leaver, PTNPI 1801994355
Title
Ceo/Owner
Phone
(616) 356-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4341 Piedmont Ave Ste 201
Oakland, CA 94611

Mailing address

4341 Piedmont Ave Ste 201
Oakland, CA 94611-4792
Phone (616) 356-5000

Other practice location 1

708 57th St
Sacramento, CA 95819-3325
Phone (916) 457-7427

Other practice location 2

2220 Mountain Blvd Ste 120
Oakland, CA 94611-2905
Phone (510) 900-0145

Other practice location 3

1651 Botelho Dr Ste 150
Walnut Creek, CA 94596-5068
Phone (925) 386-5657

Other practice location 4

700 Oak Avenue Pkwy Ste B
Folsom, CA 95630-6871
Phone (916) 932-1210

Other practice location 5

1650 Lead Hill Blvd Ste 300
Roseville, CA 95661-3072
Phone (916) 677-1210

Other practice location 6

2001 4th Street
Berkeley, CA 94710
Phone (510) 833-6880

Other practice location 7

4341 Piedmont Ave Ste 103
Oakland, CA 94611-4766
Phone (510) 721-4694

Other practice location 8

4165 Blackhawk Plaza Cir
Danville, CA 94506-4904
Phone (925) 594-6646

Other practice location 9

1320 Willow Pass Rd Ste 150
Concord, CA 94520-7910
Phone (925) 686-5400

Other practice location 10

6759 Sierra Ct Ste A
Dublin, CA 94568-2657
Phone (925) 803-0530

Other practice location 11

9381 E Stockton Blvd Ste 108
Elk Grove, CA 95624-5069
Phone (916) 686-5070

Other practice location 12

2492 Nissen Dr
Livermore, CA 94551-7704
Phone (925) 980-8130

Other names 1

  • Sports and Orthopedic Leaders, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090729000913 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446146708 Receives reassigned benefits from 44 practitioners
Practice locations: Oakland, CA; Roseville, CA; Sacramento, CA; Walnut Creek, CA; Dublin, CA; Folsom, CA; Livermore, CA; Berkeley, CA…

National Provider Directory

National Provider Directory

Locations

2001 4th St
Berkeley, CA 94710
Phone (510) 833-6880

1320 Willow Pass Rd
Ste 150
Concord, CA 94520
Phone (925) 272-8934

4165 Blackhawk Plaza Cir
Danville, CA 94506
Phone (925) 648-7144

4165 Blackhawk Plaza Cir
Ste 275
Danville, CA 94506
Phone (925) 594-6646

2492 Nissen Dr
Livermore, CA 94551
Phone (925) 980-8130

2220 Mountain Blvd
Ste 120
Oakland, CA 94611
Phone (510) 900-0145

4341 Piedmont Ave
Oakland, CA 94611
Phone (510) 547-1630

4341 Piedmont Ave
Ste 103
Oakland, CA 94611
Phone (510) 547-1630

4341 Piedmont Ave
Ste 201
Oakland, CA 94611
Phone (510) 547-1630

5297 College Ave
#A
Oakland, CA 94618
Phone (510) 547-1630

5297 College Ave
Ste A
Oakland, CA 94618
Phone (510) 547-1630

1510 Seabright Ave
Santa Cruz, CA 95062
Phone (510) 547-1630

1651 Botelho Dr
Ste 150
Walnut Creek, CA 94596
Phone (510) 890-3185

Practitioners & affiliated clinicians

Practitioners 137

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 137

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1013981760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 PIEDMONT AVE STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114792",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 PIEDMONT AVE STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94611",
            "telephone_number": "510-547-1630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 57th St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958193325",
            "country_code": "US",
            "telephone_number": "916-457-7427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 Mountain Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946112905",
            "country_code": "US",
            "telephone_number": "510-900-0145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1651 Botelho Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945965068",
            "country_code": "US",
            "telephone_number": "925-386-5657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Oak Avenue Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956306871",
            "country_code": "US",
            "telephone_number": "916-932-1210",
            "fax_number": "916-932-1205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Lead Hill Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613072",
            "country_code": "US",
            "telephone_number": "916-677-1210",
            "fax_number": "916-677-1214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 4th Street",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "94710",
            "country_code": "US",
            "telephone_number": "510-833-6880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4341 Piedmont Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946114766",
            "country_code": "US",
            "telephone_number": "510-721-4694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4165 Blackhawk Plaza Cir",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "CA",
            "postal_code": "945064904",
            "country_code": "US",
            "telephone_number": "925-594-6646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Willow Pass Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945207910",
            "country_code": "US",
            "telephone_number": "925-686-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6759 Sierra Ct Ste A",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "CA",
            "postal_code": "945682657",
            "country_code": "US",
            "telephone_number": "925-803-0530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9381 E Stockton Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "956245069",
            "country_code": "US",
            "telephone_number": "916-686-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2492 Nissen Dr",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945517704",
            "country_code": "US",
            "telephone_number": "925-980-8130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPORTS & ORTHOPEDIC LEADERS PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "LEAVER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "616-356-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports and Orthopedic Leaders, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sports and Orthopedic Leaders, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.