Lakeview Functional Rehab

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT10397 Issued in CA

Legal business name

LAKEVIEW FUNCTIONAL REHAB

Practice address

373 Hanover Ave
Oakland, CA 94606-1372

Phone

(510) 451-5560

Fax

(510) 451-5564

NPI assigned

May 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Edith Leighton Murphy, P.T.NPI 1821214354

Title

Physical Therapist, Owner

Phone

(510) 451-5560

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Edith Leighton Murphy, P.T.

  • Orthopedic Physical Therapist
  • Oakland, CA
  • NPI 1821214354
  NPD (past) Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487875829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 HANOVER AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061372",
            "telephone_number": "510-451-5560",
            "fax_number": "510-451-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 HANOVER AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061372",
            "telephone_number": "510-451-5560",
            "fax_number": "510-451-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW FUNCTIONAL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "LEIGHTON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "510-451-5560",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT10397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "ZZZ36501Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Otto Lakatos
• Lake Merritt Optometry
• Lake Merritt Senior Living LLC (Lake Park Senior Living)
• Lake Pharmacy
• Gordon Avery Lake, MD
• Arathi Lakhole, M.D, M.P.H
• Ashutosh Lal, M.D.
• Nirupama Lal
• Zulfikaral Habib Lalani
• Shanna Lalchandani

• Orthopedic Physical Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.