Individual provider Active NPI

John Tran, DPT

  • Physical Therapist
  • San Leandro, CA
National Provider Identifier
1508511387
Registry record updated Feb 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301483 Issued in CA
Practice address
13690 E 14TH St Ste 110
San Leandro, CA 94578-2584
Phone
(510) 698-6259
NPI assigned
Feb 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 301483 CA
Orthopedic Physical Therapist 2251X0800X 301483 CA
Physical Therapist 225100000X 301483 CA Primary

Addresses

Primary practice location

13690 E 14TH St Ste 110
San Leandro, CA 94578-2584

Mailing address

40 Harrison St Apt 452
Oakland, CA 94607-3870
Phone (916) 832-1132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220418001919 CA Practitioner - Physical Therapist in Private Practice 8123415346 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
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
301483CAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabpilates Physical Therapy and Pilates, Inc. CurrentSince Feb 22, 2022 Accepting new patients
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist CurrentSince Jul 6, 2023 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

13690 E 14th St
Ste 110
San Leandro, CA 94578
Phone (510) 698-6259

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645228800000",
    "number": "1508511387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HARRISON ST APT 452",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073870",
            "telephone_number": "916-832-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13690 E 14TH ST STE 110",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782584",
            "telephone_number": "510-698-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "301483",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "301483",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; 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.