Alvin Li, DPT
Individual provider Active NPI Physical Therapist · Oakland, CA
NPI 1982206181 · NPPES record last updated Dec 21, 2020
Key facts
- NPI
- 1982206181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 299408 (CA)
- Practice address
- 350 Frank H Ogawa PLZ Ste 300
Oakland, CA 94612-2036 - Phone
- (510) 893-7463
- NPI assigned
- Nov 12, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Corkish and Lew a Professional Physical Therapy Corporation
Practice addresses (Care Compare)
1941 Ofarrell St
Suite 115
San Mateo, CA 94403-1374
Phone (650) 343-5678
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210528001263 | CA | Practitioner - Physical Therapist in Private Practice | 6901205657 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299408 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
| Corkish and Lew a Professional Physical Therapy Corporation | Physical Therapist | Current |
Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
1941 Ofarrell St
Ste 115
San Mateo, CA 94403
Phone (650) 343-5678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 299408 | CA | Yes |
Addresses
Primary practice location
350 Frank H Ogawa PLZ Ste 300
Oakland, CA 94612-2036
Mailing address
3773 Erris CT
South San Francisco, CA 94080-3840
Phone (415) 728-3787
Other providers in Oakland, CA
- Li Chiropractic Center a Professional Corporation
- Li Qin Dental Practice Inc
- Jonie Cho Suen Li Tse
- Esther Ann Li-Bland
- Dellys Y Li-Nguyen
- Amy Y Li
- Becky Li
- Brenda Li
- Calvin Li
- Christina F Li
All providers in Oakland, CA · 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 Dec 21, 2020. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.