Active NPI
Lorna J Roza, P.T.
- Physical Therapist
- San Leandro, CA
National Provider Identifier
1316955818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22869
- Practice address
- 2252 E 14TH St
San Leandro, CA 94577-6026 - Phone
- (510) 698-6259
- Fax
- (510) 698-6278
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT22869 | Primary |
Addresses
Primary practice location
2252 E 14TH St
San Leandro, CA 94577-6026
Mailing address
2252 E 14TH St
San Leandro, CA 94577-6026
Phone (510) 698-6259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13690 E 14TH St
Suite 110
San Leandro, CA 94578-2582
Phone (510) 698-6259
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22869 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabpilates Physical Therapy and Pilates, Inc. | Current | Accepting new patients | |
| George Chen | Physical Therapist | Past | Accepting new patients |
Locations
13690 E 14th St
Ste 110
San Leandro, CA 94578
Phone (510) 698-6259
2252 E 14th St
San Leandro, CA 94577
Phone (510) 698-6259
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- San Leandro, CA
- NPI 1386889665
-
- Physical Therapist
- San Leandro, CA
- NPI 1467540856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1316955818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2252 E 14TH ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945776026",
"telephone_number": "510-698-6259",
"fax_number": "510-698-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2252 E 14TH ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945776026",
"telephone_number": "510-698-6259",
"fax_number": "510-698-6278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZA",
"first_name": "LORNA",
"middle_name": "J",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "PT22869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.