John Matthew Caldwell

Individual provider Active NPI Physical Therapy Assistant · Auburn, CA

NPI 1255839635 · NPPES record last updated Jan 31, 2018

Key facts

NPI
1255839635
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
12055 Persimmon Ter Ste 130
Auburn, CA 95603-3808
Phone
(530) 889-0478
NPI assigned
Jan 31, 2018
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
American River Rehabilitation and Physical Therapy, Inc. Past
since Jul 1, 2003
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Yes

Addresses

Primary practice location

12055 Persimmon Ter Ste 130
Auburn, CA 95603-3808

Mailing address

8416 Roseto Rd
Roseville, CA 95678-2944
Phone (916) 676-3893

Other providers in Auburn, CA

All providers in Auburn, CA · Physical Therapy Assistant in California

Sources for this page

Verify at the official NPI Registry.