Individual provider Active NPI

Kathleen Sun Worrall, DPT

  • Physical Therapist
  • Roseville, CA
National Provider Identifier
1174179550
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jul 23, 2026

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 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

Enrollment IDStateProvider typePAC IDDetails
I20200908003148 CA Practitioner - Physical Therapist in Private Practice 2961731989 Reassigns benefits to 2 organizations

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
Milestone Physical Therapy IncGroup PAC ID 0547662553, 11 clinicians

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

OrganizationSpecialtyStatusNew patients
Milestone Physical Therapy Inc Physical Therapist CurrentSince Apr 24, 2021 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.

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.

Verify at the official NPI Registry.