Individual provider Active NPI

Todd Steven Rollins, DPT

  • Physical Therapist
  • Saratoga, CA
National Provider Identifier
1104004423
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34403 Issued in CA
Practice address
12930 Saratoga Ave Ste B5
Saratoga, CA 95070-4661
Phone
(408) 973-7700
Fax
(408) 973-1600
NPI assigned
Feb 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 PT34403 CA Primary

Addresses

Primary practice location

12930 Saratoga Ave Ste B5
Saratoga, CA 95070-4661

Mailing address

12930 Saratoga Ave Ste B5
Saratoga, CA 95070-4661
Phone (408) 973-7700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080501000356 CA Practitioner - Physical Therapist in Private Practice 0648359612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optm Physical Therapy of Saratoga IncGroup PAC ID 7719967272, 13 clinicians

Practice addresses (Care Compare)

12930 Saratoga Ave
Suite B5
Saratoga, CA 95070-4661
Phone (408) 973-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34403CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optm Physical Therapy of Saratoga, Inc. Physical Therapist CurrentSince Feb 5, 2008 Accepting new patients
Optm Sports & Physical Therapy, Inc Physical Therapist PastSince Jan 1, 2008 Accepting new patients

Locations

12930 Saratoga Ave
Ste B5
Saratoga, CA 95070
Phone (408) 763-4905

18780 Cox Ave
Saratoga, CA 95070
Phone (408) 370-7303

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1104004423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 SARATOGA AVE STE B5",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704661",
            "telephone_number": "408-973-7700",
            "fax_number": "408-973-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 SARATOGA AVE STE B5",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704661",
            "telephone_number": "408-973-7700",
            "fax_number": "408-973-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "TODD",
        "middle_name": "STEVEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-08",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.