Individual provider Active NPI

Connie Lynn Hua, DPT

  • Orthopedic Physical Therapist
  • Concord, CA
National Provider Identifier
1497487342
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
302148 Issued in CA
Practice address
3219 Ida Dr
Concord, CA 94519-2136
Phone
(510) 219-5102
NPI assigned
Jun 29, 2022
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 302148 CA Primary

Addresses

Primary practice location

3219 Ida Dr
Concord, CA 94519-2136

Mailing address

3219 Ida Dr
Concord, CA 94519-2136
Phone (510) 219-5102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721002581 CA Practitioner - Physical Therapist in Private Practice 0941681993 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Sports Physical Therapy Centers, Inc. Orthopedic CurrentSince Jul 1, 2022 Accepting new patients
California Sports Physical Therapy Centers, Inc. Orthopedic Current Accepting new patients
California Sports Physical Therapy Centers Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

1333 Willow Pass Rd
Ste 110
Concord, CA 94520
Phone (925) 676-7431

350 Bollinger Canyon Ln
Ste A
San Ramon, CA 94582
Phone (925) 735-6414

5910 Pacific Ave
#I
Stockton, CA 95207
Phone (209) 475-1000

110 La Casa Via
Ste 100
Walnut Creek, CA 94598
Phone (925) 935-4866

110 La Casa Via
Ste 110
Walnut Creek, CA 94598
Phone (925) 930-6897

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1497487342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 IDA DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192136",
            "telephone_number": "510-219-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 IDA DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192136",
            "telephone_number": "510-219-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUA",
        "first_name": "CONNIE",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "302148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.