Individual provider Active NPI

Daniela Pruzan, DPT

  • Physical Therapist
  • Grass Valley, CA
National Provider Identifier
1013310028
Registry record updated Nov 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41746 Issued in CA
Practice address
316 S Auburn St
Ste 3
Grass Valley, CA 95945-7298
Phone
(530) 797-6857
NPI assigned
Oct 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2020

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 41746 CA Primary

Addresses

Primary practice location

316 S Auburn St
Ste 3
Grass Valley, CA 95945-7298

Mailing address

11838 Deer Park Dr
Nevada City, CA 95959-8921
Phone (530) 797-6857

Other identifiers 1

IdentifierTypeStateIssuer
1770869711OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41746CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Nani, DO LLC Past Accepting new patients
Spring Hill Physical Therapy and Acupuncture Physical Therapist PastSince Oct 2, 2014 Accepting new patients

Organizations & group practices 2

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": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1013310028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11838 DEER PARK DR",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959598921",
            "telephone_number": "530-797-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S AUBURN ST",
            "address_2": "STE 3",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457298",
            "telephone_number": "530-797-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUZAN",
        "first_name": "DANIELA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770869711",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.