Individual provider Active NPI

Rachel Gagne, PT, DPT, CSCS

  • Physical Therapist
  • Walnut Creek, CA
National Provider Identifier
1265046262
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302028 Issued in CA
Practice address
1651 Botelho Dr Ste 150
Walnut Creek, CA 94596-5068
Phone
(925) 386-5657
Fax
(888) 461-7920
NPI assigned
Sep 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01952000 NJ
Physical Therapist 225100000X 302028 CA Primary

Addresses

Primary practice location

1651 Botelho Dr Ste 150
Walnut Creek, CA 94596-5068

Mailing address

1448 Ellis Mill Rd
Monroeville, NJ 08343-2816
Phone (856) 381-3086

Other practice location 1

2005 Marlton Pike E
Cherry Hill, NJ 08003-1279
Phone (856) 874-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201204000647 NJ Practitioner - Physical Therapist in Private Practice 6608287131 Reassigns benefits to 1 organization
I20230626001695 CA Practitioner - Physical Therapist in Private Practice 6608287131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Orthopedic Leaders Physical Therapy IncGroup PAC ID 0446146708, 42 clinicians

Practice addresses (Care Compare)

1651 Botelho Dr
Suite 150
Walnut Creek, CA 94596-5068
Phone (925) 386-5657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Oct 21, 2021 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Oct 21, 2021 Accepting new patients
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist CurrentSince Feb 23, 2026 Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

3760 Convoy St
Ste 101
San Diego, CA 92111
Phone (858) 264-1434

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

1651 Botelho Dr
Ste 150
Walnut Creek, CA 94596
Phone (510) 890-3185

2005 Route 70 E
Cherry Hill, NJ 08003
Phone (609) 714-7733

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

201 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 582-3400

200 Bowman Dr
Ste E104
Voorhees, NJ 08043
Phone (856) 282-0337

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1265046262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 ELLIS MILL RD",
            "city": "MONROEVILLE",
            "state": "NJ",
            "postal_code": "083432816",
            "telephone_number": "856-381-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 BOTELHO DR STE 150",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965068",
            "telephone_number": "925-386-5657",
            "fax_number": "888-461-7920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Marlton Pike E",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080031279",
            "country_code": "US",
            "telephone_number": "856-874-1166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "RACHEL",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-07",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01952000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.