Active NPI
Daniela Pruzan, DPT
- Physical Therapist
- Grass Valley, CA
National Provider Identifier
1013310028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 41746
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770869711 | Other | CA | NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41746 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephanie Nani, DO LLC | Past | Accepting new patients | |
| Spring Hill Physical Therapy and Acupuncture | Physical Therapist | Past | 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.
-
- Physical Therapist
- Grass Valley, CA
- NPI 1457443947
-
- Neuromusculoskeletal Medicine & OMM Physician
- Lake Oswego, OR
- NPI 1619285293
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.