Individual provider Active NPI

Kathleen A Reisinger, PT

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1316263478
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36629 Issued in CA
Practice address
9500 Micron Ave Ste 106
St 106
Sacramento, CA 95827-2618
Phone
(916) 362-7962
Fax
(916) 362-7963
NPI assigned
Apr 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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 PT36629 CA Primary

Addresses

Primary practice location

9500 Micron Ave Ste 106
St 106
Sacramento, CA 95827-2618

Mailing address

9500 Micron Ave Ste 106
St 106
Sacramento, CA 95827-2618
Phone (916) 362-7962

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

LicenseStateTypeSpecialty
PT36629CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burger Physical Therapy and Rehabilitation Agency Inc Past Accepting new patients
Results Physical Therapy and Training Center Inc. Physical Therapist PastSince Mar 1, 2013 Accepting new patients
El Dorado Physical Therapy, Inc Physical Therapist PastSince Jan 1, 2010 Accepting new patients

Organizations & group practices 3

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1316263478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MICRON AVE STE 106",
            "address_2": "ST 106",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272618",
            "telephone_number": "916-362-7962",
            "fax_number": "916-362-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MICRON AVE STE 106",
            "address_2": "ST 106",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272618",
            "telephone_number": "916-362-7962",
            "fax_number": "916-362-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISINGER",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT36629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.