Individual provider Active NPI

Anthony Sampson Pease, MPT

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1174837819
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 36861 Issued in CA
Practice address
1308 28TH St
Sacramento, CA 95816-6002
Phone
(916) 446-1497
Fax
(916) 446-5959
NPI assigned
Aug 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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 PT 36861 CA Primary

Addresses

Primary practice location

1308 28TH St
Sacramento, CA 95816-6002

Mailing address

545 Santa Ynez Way
Sacramento, CA 95816-3907
Phone (916) 549-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101008000115 CA Practitioner - Physical Therapist in Private Practice 6901098946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitol Physical Therapy Center IncGroup PAC ID 5294785218, 4 clinicians

Practice addresses (Care Compare)

2033 Howe Ave
Suite 110
Sacramento, CA 95825-0182
Phone (916) 446-1497

8211 Sierra College Blvd
Suite 400
Roseville, CA 95661-9405
Phone (916) 782-2761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36861CAMDMarriage & Family Therapist
PT 36861CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Physical Therapy Center Inc Physical Therapist CurrentSince Aug 16, 2010 Accepting new patients

Locations

9370 Studio Ct
Ste 130
Elk Grove, CA 95758
Phone (916) 714-1177

8211 Sierra College Blvd
Ste 400
Roseville, CA 95661
Phone (916) 782-2761

2288 Auburn Blvd
Ste 107
Sacramento, CA 95821
Phone (916) 446-1497

2033 Howe Ave
Ste 110
Sacramento, CA 95825
Phone (916) 446-1497

1308 28th St
Sacramento, CA 95816
Phone (916) 446-1497

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.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1174837819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SANTA YNEZ WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163907",
            "telephone_number": "916-549-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 28TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166002",
            "telephone_number": "916-446-1497",
            "fax_number": "916-446-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASE",
        "first_name": "ANTHONY",
        "middle_name": "SAMPSON",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 36861",
            "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 Aug 5, 2010; 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.