Individual provider Active NPI

Paul Kaiwo Leung, PT

  • Physical Therapist
  • Anaheim, CA
National Provider Identifier
1578035663
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT295834 Issued in CA
Practice address
2400 E Katella Ave Ste 405
Anaheim, CA 92806-5958
Phone
(714) 712-9222
NPI assigned
Dec 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT295834 CA Primary

Addresses

Primary practice location

2400 E Katella Ave Ste 405
Anaheim, CA 92806-5958

Mailing address

2400 E Katella Ave Ste 405
Anaheim, CA 92806-5958
Phone (714) 712-9222

Other practice location 1

239 E Katella Ave
Orange, CA 92867-4853
Phone (714) 538-0025

Other practice location 2

3230 E. Imperial Hwy
Suite 100
Brea, CA 92821-6735
Phone (714) 256-5074

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190219002402 CA Practitioner - Physical Therapist in Private Practice 4880932755 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

Practice addresses (Care Compare)

1310 W Stewart Dr
Suite 404
Orange, CA 92868-3855
Phone (714) 707-6466

2400 E Katella Ave
Suite 405
Anaheim, CA 92806-5958
Phone (714) 712-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT295834CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Jan 1, 2019 Accepting new patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Jan 1, 2019 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Feb 3, 2021 Accepting new patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Jan 1, 2019 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Jan 1, 2019 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Nov 11, 2024 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Nov 11, 2024 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients

Locations

2400 E Katella Ave
Ste 405
Anaheim, CA 92806
Phone (714) 408-8071

3230 E Imperial Hwy
Ste 100
Brea, CA 92821
Phone (714) 256-5074

250 E Yale Loop
Ste 201
Irvine, CA 92604
Phone (949) 265-2442

24301 Muirlands Blvd
Ste T
Lake Forest, CA 92630
Phone (949) 271-0012

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

239 E Katella Ave
Orange, CA 92867
Phone (714) 538-0025

1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466

Organizations & group practices 8

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": "1546128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1578035663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 E KATELLA AVE STE 405",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065958",
            "telephone_number": "714-712-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E KATELLA AVE STE 405",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065958",
            "telephone_number": "714-712-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 E Katella Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928674853",
            "country_code": "US",
            "telephone_number": "714-538-0025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3230 E. Imperial Hwy",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Brea",
            "state": "CA",
            "postal_code": "928216735",
            "country_code": "US",
            "telephone_number": "714-256-5074",
            "fax_number": "714-256-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "PAUL",
        "middle_name": "KAIWO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-30",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT295834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.