Tracey Lynn Bledsoe, DPT
Individual provider Active NPI Physical Therapist · American Canyon, CA
NPI 1043672058 · NPPES record last updated Feb 11, 2022
Key facts
- NPI
- 1043672058
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 42837 (CA)
- Practice address
- 262 Sheffield Way
American Canyon, CA 94503-1357 - Phone
- (707) 567-1302
- NPI assigned
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 42837 | CA | Yes |
Addresses
Primary practice location
262 Sheffield Way
American Canyon, CA 94503-1357
Mailing address
262 Sheffield Way
American Canyon, CA 94503-1357
Phone (707) 567-1302
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Other providers in American Canyon, CA
- Egbert Balanon
- Yasbleidy Baron
- Frances Brlit Benko
- Florence Birungi
- Karen Black
- Zachary Landus Booze
- Pia Briones
- Cabugao DDS Inc
- Kevin James Cabugao
- California Dental Care, Nahreen Imam, DDS, Inc.
All providers in American Canyon, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.