Active NPI
Steve Arnold Thrall, PT
- Physical Therapist
- Citrus Heights, CA
National Provider Identifier
1295734788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT9913
- Practice address
- 6560 Greenback Lane
Ste 100
Citrus Heights, CA 95621-6227 - Phone
- (916) 723-3372
- Fax
- (916) 723-1638
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT9913 | CA | Primary |
Addresses
Primary practice location
6560 Greenback Lane
Ste 100
Citrus Heights, CA 95621-6227
Mailing address
6560 Greenback Lane
Ste 100
Citrus Heights, CA 95621-6227
Phone (916) 723-3372
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ070872 | Other | CA | BLUE SHIELD |
| 0008158486 | Other | CA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT9913 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocklin Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Rocklin, CA
- NPI 1760584742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1295734788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6560 GREENBACK LANE",
"address_2": "STE 100",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956216227",
"telephone_number": "916-723-3372",
"fax_number": "916-723-1638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6560 GREENBACK LANE",
"address_2": "STE 100",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956216227",
"telephone_number": "916-723-3372",
"fax_number": "916-723-1638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRALL",
"first_name": "STEVE",
"middle_name": "ARNOLD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT9913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ070872",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0008158486",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.