Active NPI
Post Traumatic Fitness and Rehabilitation Center
- Rehabilitation Clinic/Center
- Santa Rosa, CA
National Provider Identifier
1265037675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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
National Provider Directory
National Provider DirectoryNPI 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.