Organization Active NPI

Cicero and Hendricks Physical Therapy

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1093716946
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CICERO AND HENDRICKS PHYSICAL THERAPY
Practice address
7200 S Land Park Dr
300
Sacramento, CA 95831-3612
Phone
(916) 391-5010
Fax
(916) 391-5017
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael C Cicero, P.T.
Title
Partner
Phone
(916) 391-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7200 S Land Park Dr
300
Sacramento, CA 95831-3612

Mailing address

5535 Swadly Way
Sacramento, CA 95835-1520
Phone (916) 391-5010

National Provider Directory

National Provider Directory
Tax ID family
Cicero and Hendricks Physical TH2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093716946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 SWADLY WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351520",
            "telephone_number": "916-391-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 S LAND PARK DR",
            "address_2": "300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313612",
            "telephone_number": "916-391-5010",
            "fax_number": "916-391-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CICERO AND HENDRICKS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CICERO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "916-391-5010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.