Individual provider Active NPI

Max Warren Yeagley

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1255844403
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294037 Issued in CA
Practice address
1201 Alhambra Blvd Ste 200
Sacramento, CA 95816-5241
Phone
(916) 731-7900
NPI assigned
Nov 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 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 294037 CA Primary

Addresses

Primary practice location

1201 Alhambra Blvd Ste 200
Sacramento, CA 95816-5241

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180102001224 CA Practitioner - Physical Therapist in Private Practice 5496013195 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2800 L St
Sacramento, CA 95816-5616

Merit-based Incentive Payment System (MIPS)

Final score
87.39 of 100Reported as group
Quality
75.67
Promoting interoperability
100
Improvement activities
40
Cost
74.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294037CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince May 1, 2021 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 1, 2024 Accepting new patients
Sutter Valley Medical Foundation Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Dec 4, 2018 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Burger Physical Therapy Services Inc CurrentSince Aug 1, 2022 Accepting new patients
Orthopaedic and Neurological Rehab Inc Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc Past Accepting new patients
Sutter Gould Medical Foundation PastSince Dec 4, 2018 Accepting new patients

Locations

2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017

9045 Bruceville Rd
Ste 130
Elk Grove, CA 95758
Phone (916) 691-5400

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

1301 E Bidwell St
Ste 101
Folsom, CA 95630
Phone (916) 983-5900

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

631 S Ham Ln
Ste B
Lodi, CA 95242
Phone (209) 368-7433

3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946

1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

7200 S Land Park Dr
Ste 300
Sacramento, CA 95831
Phone (916) 391-5010

1201 Alhambra Blvd
Ste 200
Sacramento, CA 95816
Phone (916) 731-7900

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 10

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": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1255844403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ALHAMBRA BLVD STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165241",
            "telephone_number": "916-731-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGLEY",
        "first_name": "MAX",
        "middle_name": "WARREN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.