Active NPI
Alyssa Bumstead
- Physical Therapist
- Sacramento, CA
National Provider Identifier
1154953370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 297105
- Practice address
- 1625 Stockton Blvd Ste 106
Sacramento, CA 95816-7098 - Phone
- (916) 262-9040
- Fax
- (916) 732-8857
- NPI assigned
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 297105 | CA | Primary |
Addresses
Primary practice location
1625 Stockton Blvd Ste 106
Sacramento, CA 95816-7098
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Other practice location 1
151 N Sunrise Ave
Roseville, CA 95661-2924
Phone (916) 771-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 255228
Sacramento, CA 95865
PO Box
Suite 255228
Sacramento, CA 95865-5228
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297105 | CA | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1154953370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 STOCKTON BLVD STE 106",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958167098",
"telephone_number": "916-262-9040",
"fax_number": "916-732-8857"
}
],
"practiceLocations": [
{
"address_1": "151 N Sunrise Ave",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "CA",
"postal_code": "956612924",
"country_code": "US",
"telephone_number": "916-771-8255",
"fax_number": "916-771-8211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUMSTEAD",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297105",
"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 May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.