Individual provider Active NPI

Harold William Lueders II, DPT

  • Physical Therapist
  • Albany, CA
National Provider Identifier
1922868561
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
948 San Pablo Ave
Albany, CA 94706-2010
Phone
(510) 526-2353
NPI assigned
Mar 20, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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 CA Primary

Addresses

Primary practice location

948 San Pablo Ave
Albany, CA 94706-2010

Mailing address

1519 Sonoma Ave
Albany, CA 94706-2409
Phone (510) 544-9998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621003256 CA Practitioner - Physical Therapist in Private Practice 0840733598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

948 San Pablo Ave
Albany, CA 94706-2010
Phone (510) 526-2353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Sports Physical Therapy Centers, Inc. Physical Therapist CurrentSince May 12, 2024 Accepting new patients
California Sports Physical Therapy Centers, Inc. Physical Therapist Current Accepting new patients
California Sports Physical Therapy Centers Inc Physical Therapist CurrentSince May 12, 2024 Accepting new patients

Locations

948 San Pablo Ave
Albany, CA 94706
Phone (510) 526-2353

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

20211 Patio Dr
Ste 205
Castro Valley, CA 94546
Phone (510) 537-3991

101 Wilson Rd
Ste C
Monterey, CA 93940
Phone (831) 375-1885

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

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

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

2792 Naglee Rd
Tracy, CA 95304
Phone (209) 433-6510

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1922868561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 SONOMA AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062409",
            "telephone_number": "510-544-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 SAN PABLO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062010",
            "telephone_number": "510-526-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDERS",
        "first_name": "HAROLD",
        "middle_name": "WILLIAM",
        "name_suffix": "II",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.