Individual provider Active NPI

Ursula Barragan, DPT

  • Physical Therapist
  • Davis, CA
National Provider Identifier
1255723383
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42307 Issued in CA
Practice address
1460 Drew Ave Ste 200
Davis, CA 95618-4856
Phone
(530) 753-9011
Fax
(530) 753-9021
NPI assigned
Feb 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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 42307 CA Primary

Addresses

Primary practice location

1460 Drew Ave Ste 200
Davis, CA 95618-4856

Mailing address

1460 Drew Ave Ste 200
Davis, CA 95618-4856
Phone (530) 753-9011

Other practice location 1

9381 E Stockton Blvd
Suite 108
Elk Grove, CA 95624-5068
Phone (916) 686-5070

Other names 1

  • Ursula Bergmooser Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Edge Specialty Services Physical Therapist CurrentSince Sep 6, 2020 Accepting new patients
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist CurrentSince Feb 18, 2025 Accepting new patients

Locations

1460 Drew Ave
Ste 200
Davis, CA 95618
Phone (530) 753-9011

9381 E Stockton Blvd
Ste 108
Elk Grove, CA 95624
Phone (916) 686-5070

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1255723383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 DREW AVE STE 200",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956184856",
            "telephone_number": "530-753-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 DREW AVE STE 200",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956184856",
            "telephone_number": "530-753-9011",
            "fax_number": "530-753-9021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9381 E Stockton Blvd",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "956245068",
            "country_code": "US",
            "telephone_number": "916-686-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRAGAN",
        "first_name": "URSULA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "URSULA",
            "last_name": "BERGMOOSER",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.