NPIMap

Organization Active NPI

Sands Traveler P.T.

Doing business as Sierra Valley Physical Therapy

  • Physical Therapy Clinic/Center
  • Greenville, CA
National Provider Identifier
1154514040
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SANDS TRAVELER P.T.
Doing business as
Sierra Valley Physical Therapy
Practice address
176 Crescent Street
Greenville, CA 95947
Phone
(530) 284-1666
Fax
(530) 832-1703
NPI assigned
Aug 23, 2007
Last updated
Sep 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
Mr. Reynaldo Pesina, P.T.NPI 1730214065
Title
Owner / Director
Phone
(530) 832-1701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

176 Crescent Street
Greenville, CA 95947

Mailing address

73795 S Delleker Rd
Portola, CA 96122-6402
Phone (530) 832-1701

Other names 1

  • Sierra Valley Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1154514040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73795 S DELLEKER RD",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961226402",
            "telephone_number": "530-832-1701",
            "fax_number": "530-832-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 CRESCENT STREET",
            "city": "GREENVILLE",
            "state": "CA",
            "postal_code": "95947",
            "telephone_number": "530-284-1666",
            "fax_number": "530-832-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDS TRAVELER P.T.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "PESINA",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "530-832-1701",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Valley Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.