Individual provider Active NPI

Christina Yvonne Ridley, PT,DPT

  • Physical Therapist
  • Carmichael, CA
National Provider Identifier
1306362470
Registry record updated Aug 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293574 Issued in CA
Practice address
6403 Coyle Ave Ste 350
Carmichael, CA 95608-0361
Phone
(916) 536-9130
NPI assigned
Aug 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2017

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 293574 CA Primary

Addresses

Primary practice location

6403 Coyle Ave Ste 350
Carmichael, CA 95608-0361

Mailing address

2613 Bass CT
Sacramento, CA 95826-1803
Phone (408) 802-2401

Other identifiers 1

IdentifierTypeStateIssuer
293574OtherCAPHYSICAL THERAPY BOARD OF CALIFORNIA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Swanson Schaack Physical Therapy Physical Therapist CurrentSince Sep 20, 2022 Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc Past Accepting new patients

Locations

801 Sterling Pkwy
Ste 150
Lincoln, CA 95648
Phone (916) 543-7900

1620 Lead Hill Blvd
Ste 200
Roseville, CA 95661
Phone (916) 789-1111

Organizations & group practices 2

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": "1503187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503187200000",
    "number": "1306362470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 BASS CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958261803",
            "telephone_number": "408-802-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6403 COYLE AVE STE 350",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080361",
            "telephone_number": "916-536-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDLEY",
        "first_name": "CHRISTINA",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-20",
        "last_updated": "2017-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "293574",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2017; 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.