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SIERRA PEDIATRIC THERAPY CLINIC NPI 1639579758


NPI Information

NPI: 1639579758
Provider Name: SIERRA PEDIATRIC THERAPY CLINIC
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
720 SUNRISE AVE
SUITE D110
ROSEVILLE, CA
ZIP 95661
Phone: (916) 791-2747
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SIERRA PEDIATRIC THERAPY CLINIC is a pediatrics physical therapist in Roseville, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. SIERRA PEDIATRIC THERAPY CLINIC NPI is 1639579758. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

720 SUNRISE AVE
SUITE D110
ROSEVILLE, CA
ZIP 95661-516
Phone: (916) 791-2747
Fax: (916) 791-2189

The provider's authorized official is Kristine N. Corn .
The authorized official title is Owner and has the following contact phone number (916) 791-2747.

The enumeration date for this NPI number is 8/26/2014 and was last updated on 11/13/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225XP0200XOccupational TherapistPediatricsOT7936CALIFORNIANo
2225XF0002XOccupational TherapistFeeding, Eating & SwallowingOT7936CALIFORNIANo
32251P0200XPhysical TherapistPediatricsPT684CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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