Golden State Physical Therapy Inc

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

Legal business name

GOLDEN STATE PHYSICAL THERAPY INC

Doing business as

Sanderson Physical Therapy

Practice address

565 Brunswick Rd
Grass Valley, CA 95945-9392

Phone

(530) 273-4152

Fax

(530) 273-4153

NPI assigned

Nov 18, 2005

Organization subpart

No

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

Authorized official

Name

Anne Lasson

Title

Vice President

Phone

(408) 570-0510

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Sanderson Physical Therapy Doing business as

Locations

Practitioners 2

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

• Wanda G Shiotsuka, OT

  • Hand Occupational Therapist
  • Grass Valley, CA
  • NPI 1780669523
  NPD (past)
• Gary Allen Trubell, PT

  • Physical Therapist
  • Sacramento, CA
  • NPI 1033194519
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1114909629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612260",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951612260",
            "telephone_number": "877-325-2776",
            "fax_number": "408-945-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 BRUNSWICK RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459392",
            "telephone_number": "530-273-4152",
            "fax_number": "530-273-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LASSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-570-0510"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "102476",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZ08937Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanderson Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gold Country Hearing Center, Inc.
• Gold Country Hospitalists, the Hospitalist Service, Inc.
• Gold Country Telecare, Inc
• Gold Hearth Holistic LLC
• Golden Empire Nursing & Rehab Center LP
• Golden State Physicians Medical Group
• Bruce Eric Golder, DDS
• Miranda Goldfarb, LICSW
• Daniel L Goldsmith, M.D.
• Jennifer Gomes

• Hand Occupational Therapist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Hand Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.