SACRAMENTO SPINE & PHYSICAL THERAPY INC. (NPI# 1851469845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851469845 |
| Entity Type | Organization |
| Organization Name | SACRAMENTO SPINE & PHYSICAL THERAPY INC. |
| Practice Address |
1650 Lead Hill Blvd 300 Roseville CA 95661-3061 |
| Practice Telephone | 9166771210 |
| Mailing Telephone | 9166771210 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2015-11-20 |
| Authorized Official Name | TRAVIS R SMITH (OWNER) |
| Authorized Official Telephone | 9169321210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | ZZZ18195Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740399690 | Sacramento Spine & Physical Therapy Inc. | Physical Therapist | 700 Oak Avenue Pkwy Ste B, Folsom, CA 95630-6871 | 2006-08-30 |
| Street Address |
1650 LEAD HILL BLVD 300 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811981277 | Scott Tyler Warren | Chiropractor | 1650 Lead Hill Blvd, # 600, Roseville, CA 95661-3061 | 2005-08-31 |
| 1831621291 | Vitality Frp Multidisciplinary Psychology and Physiotherapy for Chroni | Physical Therapist | 1650 Lead Hill Blvd, Roseville, CA 95661-3061 | 2017-04-03 |
| 1972856490 | Nalini G Prasad | Dermatology | 1650 Lead Hill Blvd, Suite 400, Roseville, CA 95661-3061 | 2012-10-22 |
| 1770853566 | Aubrey Tennant | Physical Therapist | 1650 Lead Hill Blvd, Roseville, CA 95661-3061 | 2012-01-10 |
| 1235438136 | Neil A Van Dyck, Dpm, Podiatry Corporation | Podiatrist | 1650 Lead Hill Blvd, # 100, Roseville, CA 95661-3061 | 2011-03-18 |
| 1013124908 | James Doran Wallace | Chiropractor | 1650 Lead Hill Blvd, Suite 600, Roseville, CA 95661-3061 | 2007-05-17 |
| 1144388331 | Kristin Wetter | Physical Therapist | 1650 Lead Hill Blvd, 300, Roseville, CA 95661-3061 | 2006-12-04 |
| 1205900065 | Bryan Robert Phillips | Physical Therapist | 1650 Lead Hill Blvd, 300, Roseville, CA 95661-3061 | 2006-11-20 |
| 1104990951 | Kevin Dumitru | Physical Therapist | 1650 Lead Hill Blvd, Suite 300, Roseville, CA 95661-3061 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376723866 | Tiffany Loeffler | Physical Therapist | 140 Diamond Creek Pl Ste 125, Roseville, CA 95747-7188 | 2007-11-13 |
| 1285081836 | First Step Physical Therapy Inc | Physical Therapist | 1000 Sunrise Ave, Suite 6a, Roseville, CA 95661-7005 | 2016-05-24 |
| 1285023341 | Kurtis Hallam | Physical Therapist | 1620 Lead Hill Blvd, Roseville, CA 95661-2853 | 2015-01-13 |
| 1770853566 | Aubrey Tennant | Physical Therapist | 1650 Lead Hill Blvd, Roseville, CA 95661-3061 | 2012-01-10 |
| 1598809733 | Darin Lee Haugland | Physical Therapist | 2336 Lexington Ave N, Roseville, MN 55113-4343 | 2007-02-19 |
| 1144388331 | Kristin Wetter | Physical Therapist | 1650 Lead Hill Blvd, 300, Roseville, CA 95661-3061 | 2006-12-04 |
| 1205900065 | Bryan Robert Phillips | Physical Therapist | 1650 Lead Hill Blvd, 300, Roseville, CA 95661-3061 | 2006-11-20 |
| 1104990951 | Kevin Dumitru | Physical Therapist | 1650 Lead Hill Blvd, Suite 300, Roseville, CA 95661-3061 | 2006-11-20 |
| 1366521783 | Vanderbilt Physical Therapy | Physical Therapist | 107 S Harding Blvd, Roseville, CA 95678-3354 | 2006-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SACRAMENTO SPINE & PHYSICAL THERAPY INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.