Individual provider Active NPI

Brett Pinkney, P.T.

  • Physical Therapist
  • Roseville, CA
National Provider Identifier
1033135454
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18509 Issued in CA
Practice address
588 N Sunrise Ave Ste 100
Roseville, CA 95661-2843
Phone
(916) 782-7848
Fax
(916) 782-7848
NPI assigned
Jul 15, 2006
Last updated
Mar 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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 18509 CA Primary

Addresses

Primary practice location

588 N Sunrise Ave Ste 100
Roseville, CA 95661-2843

Mailing address

507 Weybridge CT
Roseville, CA 95661-5110

Other practice location 1

11960 Heritage Oak Pl
Auburn, CA 95603-2401
Phone (530) 878-5301

Other practice location 2

1544 Eureka Rd
180
Roseville, CA 95661-3086
Phone (916) 772-2162

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070601000575 CA Practitioner - Physical Therapist in Private Practice 4385554047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Family Physical Therapy IncGroup PAC ID 0143328997, 5 clinicians

Practice addresses (Care Compare)

2231 Douglas Blvd
Suite 100
Roseville, CA 95661-4264
Phone (916) 778-7321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chapa-de Indian Health Program, Inc. CurrentSince Jul 5, 2022 Accepting new patients
Matrix Rehabilitation, Inc. Past Accepting new patients
Matrix Rehabilitation, Inc. Past Accepting new patients

Locations

11670 Atwood Rd
Auburn, CA 95603
Phone (530) 887-2800

1350 E Main St
Grass Valley, CA 95945
Phone (530) 477-8545

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHIAD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1033135454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 WEYBRIDGE CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 N SUNRISE AVE STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612843",
            "telephone_number": "916-782-7848",
            "fax_number": "916-782-7848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11960 Heritage Oak Pl",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956032401",
            "country_code": "US",
            "telephone_number": "530-878-5301",
            "fax_number": "530-878-5303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1544 Eureka Rd",
            "address_2": "180",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613086",
            "country_code": "US",
            "telephone_number": "916-772-2162",
            "fax_number": "916-772-2163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINKNEY",
        "first_name": "BRETT",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "18509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.