Connie Lynn Hua, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Concord, CA
NPI 1497487342 · NPPES record last updated Jun 29, 2022
Key facts
- NPI
- 1497487342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 302148 (CA)
- Practice address
- 3219 Ida Dr
Concord, CA 94519-2136 - Phone
- (510) 219-5102
- NPI assigned
- Jun 29, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220721002581 | CA | Practitioner - Physical Therapist in Private Practice | 0941681993 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302148 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Sports Physical Therapy Centers, Inc. | Orthopedic | Current | Accepting new patients |
| California Sports Physical Therapy Centers, Inc. | Orthopedic | Current |
Accepting new patients |
| California Sports Physical Therapy Centers Inc | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 302148 | CA | Yes |
Addresses
Primary practice location
3219 Ida Dr
Concord, CA 94519-2136
Mailing address
3219 Ida Dr
Concord, CA 94519-2136
Phone (510) 219-5102
Other providers in Concord, CA
- Gavin Hsu
- Philip Hsu
- Cecilia Marie Pilar Perlas Hu
- Hanyue Hu
- Yi Hu
- Grace Gai Huang Tarnow
- Alice Huang
- Denny Huang
- Sin-Yi Huang
- Xiaowen Huang
All providers in Concord, CA · Orthopedic Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.