Organization Active NPI

Post Traumatic Fitness and Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1265037675
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
POST TRAUMATIC FITNESS AND REHABILITATION CENTER
Practice address
808 Donahue St
Santa Rosa, CA 95401-5434
Phone
(707) 327-8245
NPI assigned
Dec 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Mrs. Sonya McVay-Straub, IMT, ART, NKT, AIM,
Title
Founder/Ceo
Phone
(707) 327-8245

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

808 Donahue St
Santa Rosa, CA 95401-5434

Mailing address

808 Donahue St
Santa Rosa, CA 95401-5434
Phone (707) 327-8245

Other names 1

  • The 6 Foundation Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1265037675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 DONAHUE ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015434",
            "telephone_number": "707-327-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 DONAHUE ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015434",
            "telephone_number": "707-327-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST TRAUMATIC FITNESS AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "MCVAY-STRAUB",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "707-327-8245",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "IMT, ART, NKT, AIM,"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The 6 Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.