Individual provider Active NPI

Sophia Trezza, DPT

  • Physical Therapist
  • Santa Rosa, CA
National Provider Identifier
1215767488
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306383 Issued in CA
Practice address
140 Wikiup Dr
Santa Rosa, CA 95403-7756
Phone
(707) 542-5400
NPI assigned
Aug 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

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 306383 CA Primary

Addresses

Primary practice location

140 Wikiup Dr
Santa Rosa, CA 95403-7756

Mailing address

1919 Lyon CT
Santa Rosa, CA 95403-0974

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910001158 CA Practitioner - Physical Therapist in Private Practice 5395285944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peltz and Associates Physical Therapy IncGroup PAC ID 6002819075, 14 clinicians
Interface Rehab, Inc.Group PAC ID 6204736556, 10 clinicians

Practice addresses (Care Compare)

140 Wikiup Dr
Santa Rosa, CA 95403-7756
Phone (707) 542-5400

774 S Placentia Ave
Suite 200
Placentia, CA 92870-6838
Phone (714) 646-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306383CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peltz and Associates Physical Therapy Inc Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients

Locations

140 Wikiup Dr
Santa Rosa, CA 95403
Phone (707) 542-5400

Organizations & group practices 2

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": "1722643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1215767488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 LYON CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954030974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WIKIUP DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037756",
            "telephone_number": "707-542-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREZZA",
        "first_name": "SOPHIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-03",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; 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.