Individual provider Active NPI

Sabine Endriss, RPT

  • Physical Therapist
  • Truckee, CA
National Provider Identifier
1053401182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT13100 Issued in CA
Practice address
11053 Donner Pass Rd
Truckee Physical Therapy
Truckee, CA 96161-4839
Phone
(530) 587-4790
Fax
(530) 587-4815
NPI assigned
Oct 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT13100 CA Primary

Addresses

Primary practice location

11053 Donner Pass Rd
Truckee Physical Therapy
Truckee, CA 96161-4839

Mailing address

PO Box 1533
Truckee, CA 96160-1533
Phone (530) 582-0746

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050801000334 CA Practitioner - Physical Therapist in Private Practice 9234167206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

11053 Donner Pass Rd
Truckee, CA 96161-4839
Phone (530) 587-4790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT13100CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients

Locations

9281 Office Park Cir
Ste 100
Elk Grove, CA 95758
Phone (916) 892-1330

11053 Donner Pass Rd
Truckee, CA 96161
Phone (530) 587-4790

Organizations & group practices 3

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053401182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1533",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961601533",
            "telephone_number": "530-582-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11053 DONNER PASS RD",
            "address_2": "TRUCKEE PHYSICAL THERAPY",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614839",
            "telephone_number": "530-587-4790",
            "fax_number": "530-587-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDRISS",
        "first_name": "SABINE",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.