Active NPI
John Richard King, P.T.
- Physical Therapist
- Oakland, CA
National Provider Identifier
1487751731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 11294
- Practice address
- 6300 Telegraph Ave
Oakland, CA 94609-1329 - Phone
- (510) 547-8293
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PT 11294 | CA | Primary |
Addresses
Primary practice location
6300 Telegraph Ave
Oakland, CA 94609-1329
Mailing address
5900 Estates Drive
Oakland, CA 94611-3114
Phone (510) 339-3197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 11294 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487751731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 ESTATES DRIVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946113114",
"telephone_number": "510-339-3197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091329",
"telephone_number": "510-547-8293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JOHN",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 11294",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.