Individual provider Active NPI

Karen Arlene Passerino

  • Pediatric Physical Therapist
  • Rancho Cordova, CA
National Provider Identifier
1235097429
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
26574 Issued in CA
Practice address
1965 Birkmont Dr
Rancho Cordova, CA 95742-6407
Phone
(916) 934-3212
NPI assigned
Jan 14, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 26574 CA Primary

Addresses

Primary practice location

1965 Birkmont Dr
Rancho Cordova, CA 95742-6407

Mailing address

11756 Dionysus Way
Rancho Cordova, CA 95742-8041
Phone (916) 934-3212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1235097429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11756 DIONYSUS WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957428041",
            "telephone_number": "916-934-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 BIRKMONT DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426407",
            "telephone_number": "916-934-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSERINO",
        "first_name": "KAREN",
        "middle_name": "ARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "26574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.