Sierra Sports & Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7497 Issued in CA

Legal business name

SIERRA SPORTS & PHYSICAL THERAPY, INC.

Practice address

12257 Business Park Dr Ste 11
Truckee, CA 96161-3336

Phone

(530) 587-9355

Fax

(530) 587-3901

NPI assigned

Jul 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Jean Sutton, P.T.NPI 1558576082

Title

Ceo

Phone

(530) 587-9355

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Jean Sutton, P.T.

  • Physical Therapist
  • Truckee, CA
  • NPI 1558576082
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326071598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12257 BUSINESS PARK DR STE 11",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961613336",
            "telephone_number": "530-587-9355",
            "fax_number": "530-587-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12257 BUSINESS PARK DR STE 11",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961613336",
            "telephone_number": "530-587-9355",
            "fax_number": "530-587-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA SPORTS & PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-587-9355",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT7497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Child & Family Services
• Sierra Cosmetic Laser, Inc
• Sierra Crest Salubrity, LLC (Truckee Therapy)
• Sierra Mountain Medical Group (N/a)
• Sierra Multi Specialty Medical Group
• Gurpreet Singh, MD
• Christopher K. Skaff, MD
• Kristin Ann Slye, LMFT AND REAT
• Erica M Smith Jimenez, BA, MA
• Jahthaime Smith, MS, LMHC

• Physical Therapist in Truckee, CA
• Providers in Truckee, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.