Sands Traveler PT, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT17342 Issued in CA

Legal business name

SANDS TRAVELER PT, INC.

Doing business as

DBA Sierra Valley Physical Therapy

Practice address

76 Cresent
Quincy, CA 95971

Phone

(530) 283-0313

NPI assigned

Jan 19, 2007

Last updated

Sep 3, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Reynaldo Pesina, PT

Title

Ceo

Phone

(530) 283-0313

Specialties & licenses 1

Addresses

Other names 1

• DBA Sierra Valley Physical Therapy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Gepford, PT

  • Specialist
  • Portola, CA
  • NPI 1114079035
  NPD (past)
• Jeanne Kessler, OT

  • Specialist
  • Portola, CA
  • NPI 1750416186
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1043363542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72795 S DELLEKER",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "96122",
            "telephone_number": "530-283-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CRESENT",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "95971",
            "telephone_number": "530-283-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDS TRAVELER PT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "PESINA",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-283-0313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT17342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Sierra Valley Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristie Rood
• Cierra Rose
• Patrena Ley Salmon
• Aubrey Lynn Sanders, MS; CCC-SLP
• Gary Todd Sanderson
• Mark W Satterfield, MD
• Gregory Lee Sawyer, DDS
• Eric T Saxman, MD
• Joseph Schad
• Karen Schad, PHARM D

• Specialist in Quincy, CA
• Providers in Quincy, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.