Individual provider Active NPI

Jennifer Sunahara, PT

  • Physical Therapist
  • Rocklin, CA
National Provider Identifier
1003617705
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2217 Sunset Blvd Ste 711
Rocklin, CA 95765-4783
Phone
(916) 435-3500
NPI assigned
Mar 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 Primary

Addresses

Primary practice location

2217 Sunset Blvd Ste 711
Rocklin, CA 95765-4783

Mailing address

104 Hobble CT
Roseville, CA 95661-3706
Phone (916) 390-3150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250505003301 CA Practitioner - Physical Therapist in Private Practice 9335666205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Sports Physical Therapy Centers IncGroup PAC ID 7618956889, 37 clinicians

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 Mar 31, 2025 Accepting new patients
California Sports Physical Therapy Centers Inc Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients
California Sports Physical Therapy Centers, Inc. Physical Therapist Current Accepting new patients

Locations

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

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

2217 Sunset Blvd
Ste 711
Rocklin, CA 95765
Phone (916) 435-3500

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1003617705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HOBBLE CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613706",
            "telephone_number": "916-390-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 SUNSET BLVD STE 711",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654783",
            "telephone_number": "916-435-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNAHARA",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.