Individual provider Active NPI

Sarah Beth Rednall, MPT

  • Mechanotherapist
  • Auburn, CA
National Provider Identifier
1336385129
Registry record updated Dec 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
24753 Issued in CA
Practice address
295 Grass Valley Hwy
Auburn, CA 95603-4533
Phone
(530) 888-8326
Fax
(530) 888-1920
NPI assigned
Dec 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 24753 CA Primary

Addresses

Primary practice location

295 Grass Valley Hwy
Auburn, CA 95603-4533

Mailing address

295 Grass Valley Hwy
Auburn, CA 95603-4533
Phone (530) 888-8326

Other names 1

  • Sarah Beth Sybesma Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24753CAMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
T.E.a.M. Physical Therapy 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.

NPI Registry JSON

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

{
    "created_epoch": "1230422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230422400000",
    "number": "1336385129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 GRASS VALLEY HWY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034533",
            "telephone_number": "530-888-8326",
            "fax_number": "530-888-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 GRASS VALLEY HWY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034533",
            "telephone_number": "530-888-8326",
            "fax_number": "530-888-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDNALL",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-28",
        "last_updated": "2008-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CA",
            "license": "24753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SYBESMA",
            "middle_name": "BETH",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.