Organization Active NPI

Stac Physical Therapy Family, Inc.

  • Physical Therapist
  • Rocklin, CA
National Provider Identifier
1245149194
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STAC PHYSICAL THERAPY FAMILY, INC.
Practice address
3736 Atherton Rd Ste 100
Rocklin, CA 95765-3814
Phone
(916) 782-7848
NPI assigned
Sep 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Or Nativ, PT
Title
Owner
Phone
(510) 653-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3736 Atherton Rd Ste 100
Rocklin, CA 95765-3814

Mailing address

3736 Atherton Rd Ste 100
Rocklin, CA 95765-3814

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1245149194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 ATHERTON RD STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 ATHERTON RD STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653814",
            "telephone_number": "916-782-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAC PHYSICAL THERAPY FAMILY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "NATIV",
        "authorized_official_first_name": "OR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-653-5151",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.