Individual provider Active NPI

Uland Ambrose Li, DPT

  • Physical Therapist
  • Oakland, CA
National Provider Identifier
1346064243
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307154 Issued in CA
Practice address
4341 Piedmont Ave Ste 201
Oakland, CA 94611-4792
Phone
(510) 547-1630
NPI assigned
Nov 8, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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 307154 CA Primary

Addresses

Primary practice location

4341 Piedmont Ave Ste 201
Oakland, CA 94611-4792

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395

Other practice location 1

3555 Whipple Rd Fl 2
Union City, CA 94587-1507
Phone (510) 675-3070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260422002231 CA Practitioner - Physical Therapist in Private Practice 3274000740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Orthopedic Leaders Physical Therapy IncGroup PAC ID 0446146708, 42 clinicians

Practice addresses (Care Compare)

4341 Piedmont Ave
Suite 201
Oakland, CA 94611-4792
Phone (510) 547-1630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307154CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist CurrentSince Mar 23, 2026 Accepting new patients

Locations

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

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

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": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1346064243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395"
        },
        {
            "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": "946114792",
            "telephone_number": "510-547-1630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Whipple Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "CA",
            "postal_code": "945871507",
            "country_code": "US",
            "telephone_number": "510-675-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "ULAND",
        "middle_name": "AMBROSE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-08",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 20, 2026; 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.