Active NPI
Kathleen Sun Worrall, DPT
- Physical Therapist
- Roseville, CA
National Provider Identifier
1174179550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 140 Diamond Creek PL Ste 125
Roseville, CA 95747-6654 - Phone
- (916) 206-3612
- NPI assigned
- Aug 12, 2019
- 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 | Primary |
Addresses
Primary practice location
140 Diamond Creek PL Ste 125
Roseville, CA 95747-6654
Mailing address
140 Diamond Creek PL
Ste 125
Roseville, CA 95747-7188
Phone (916) 206-3612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Diamond Creek PL
Suite 125
Roseville, CA 95747-6654
Phone (916) 206-3612
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestone Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Rise PT OT Speech Nutrition PLLC | Physical Therapist | Past | Accepting new patients |
Locations
140 Diamond Creek Pl
Ste 125
Roseville, CA 95747
Phone (916) 206-3612
Organizations & group practices 3
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.
-
- Physical Therapist
- Roseville, CA
- NPI 1306422274
-
- Physical Therapist
- Roseville, CA
- NPI 1093803819
-
- Physical Therapist
- New York, NY
- NPI 1427949379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1174179550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 DIAMOND CREEK PL",
"address_2": "STE 125",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957477188",
"telephone_number": "916-206-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 DIAMOND CREEK PL STE 125",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957476654",
"telephone_number": "916-206-3612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORRALL",
"first_name": "KATHLEEN",
"middle_name": "SUN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.