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SACRAMENTO SPINE & PHYSICAL THERAPY INC. NPI 1851469845


NPI Information

NPI: 1851469845
Provider Name: SACRAMENTO SPINE & PHYSICAL THERAPY INC.
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

CLIA Number: 05D2087913

Address:
1650 LEAD HILL BLVD
300
ROSEVILLE, CA
ZIP 95661
Phone: (916) 677-1210
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SACRAMENTO SPINE & PHYSICAL THERAPY INC. is an orthopedic 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 Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. SACRAMENTO SPINE & PHYSICAL THERAPY INC. NPI is 1851469845. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1650 LEAD HILL BLVD
300
ROSEVILLE, CA
ZIP 95661-061
Phone: (916) 677-1210

The provider's authorized official is Travis R Smith .
The authorized official title is Owner and has the following contact phone number (916) 932-1210.

The CLIA number assigned to this NPI record is 05D2087913 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 11/20/2015.


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
12251X0800XPhysical TherapistOrthopedicYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ18195ZOTHERCALIFORNIAMEDICARE PTAN

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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