Individual provider Active NPI

Lorna J Roza, P.T.

  • Physical Therapist
  • San Leandro, CA
National Provider Identifier
1316955818
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Dec 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20051228000526 CA Practitioner - Physical Therapist in Private Practice 0648292086 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
22869CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabpilates Physical Therapy and Pilates, Inc. CurrentSince Mar 16, 2009 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.

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.

Verify at the official NPI Registry.