Individual provider Active NPI

Malini Parthasarathi, PT

  • Physical Therapist
  • Placerville, CA
National Provider Identifier
1023640711
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042046 Issued in NY
Practice address
1252 Broadway Ste B
Placerville, CA 95667-5827
Phone
(530) 622-9410
Fax
(530) 622-9445
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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 042046 NY Primary

Addresses

Primary practice location

1252 Broadway Ste B
Placerville, CA 95667-5827

Mailing address

3600 Data Dr Apt 253
Rancho Cordova, CA 95670-7919
Phone (662) 202-7214

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
042046NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Fitzpatrick Physical Therapy Inc. Physical Therapist CurrentSince Feb 16, 2020 Accepting new patients

Locations

1252 Broadway
Ste B
Placerville, CA 95667
Phone (530) 622-9410

Organizations & group practices 1

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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1023640711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 DATA DR APT 253",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707919",
            "telephone_number": "662-202-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 BROADWAY STE B",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675827",
            "telephone_number": "530-622-9410",
            "fax_number": "530-622-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTHASARATHI",
        "first_name": "MALINI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.