NPIMap

Organization Active NPI

Parry Physical Therapy & Athletic Enhancement, Inc.

  • Physical Therapy Clinic/Center
  • Sacramento, CA
National Provider Identifier
1073540399
Registry record updated Oct 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT21001 Issued in CA
Legal business name
PARRY PHYSICAL THERAPY & ATHLETIC ENHANCEMENT, INC.
Practice address
3401 Folsom Blvd
Suite B
Sacramento, CA 95816-5354
Phone
(916) 455-5524
Fax
(916) 455-5524
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2007

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

Authorized official

Name
Mr. Gregory John Parry, PTNPI 1952338568
Title
Owner
Phone
(916) 455-5524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT21001 CA Primary

Addresses

Primary practice location

3401 Folsom Blvd
Suite B
Sacramento, CA 95816-5354

Mailing address

3401 Folsom Blvd
Suite B
Sacramento, CA 95816-5354
Phone (916) 455-5524

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061006000470 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8224034616 Receives reassigned benefits from 6 practitioners
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

3401 Folsom Blvd
Ste B
Sacramento, CA 95816
Phone (916) 455-5524

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191628800000",
    "number": "1073540399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 FOLSOM BLVD",
            "address_2": "SUITE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165354",
            "telephone_number": "916-455-5524",
            "fax_number": "916-455-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 FOLSOM BLVD",
            "address_2": "SUITE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165354",
            "telephone_number": "916-455-5524",
            "fax_number": "916-455-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARRY PHYSICAL THERAPY & ATHLETIC ENHANCEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-10-06",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-455-5524",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT21001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.