Active NPI
Taylah Nusser
- Physical Therapist
- Rocklin, CA
National Provider Identifier
1063172799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT301203
- Practice address
- 2217 Sunset Blvd Ste 711
Rocklin, CA 95765-4783 - Phone
- (916) 435-3500
- NPI assigned
- Dec 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT301203 | CA | Primary |
Addresses
Primary practice location
2217 Sunset Blvd Ste 711
Rocklin, CA 95765-4783
Mailing address
16237 Rancho Viejo CT
Tracy, CA 95304-9752
Phone (209) 879-3324
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT301203 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1063172799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16237 RANCHO VIEJO CT",
"city": "TRACY",
"state": "CA",
"postal_code": "953049752",
"telephone_number": "209-879-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2217 SUNSET BLVD STE 711",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957654783",
"telephone_number": "916-435-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSSER",
"first_name": "TAYLAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-21",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT301203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.