Individual provider Active NPI

Christopher Gulbrandson, MPT

  • Physical Therapist
  • Rocklin, CA
National Provider Identifier
1346326907
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28076 Issued in CA
Practice address
6526 Lonetree Blvd.
Suite 200
Rocklin, CA 95765-5874
Phone
(916) 772-2909
Fax
(916) 772-2989
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X PT28076 CA
Orthopedic Physical Therapist 2251X0800X PT28076 CA
Physical Therapist 225100000X PT28076 CA Primary

Addresses

Primary practice location

6526 Lonetree Blvd.
Suite 200
Rocklin, CA 95765-5874

Mailing address

6526 Lonetree Blvd Ste 200
Rocklin, CA 95765-5886
Phone (916) 772-2909

Other names 1

  • Chris Gulbrandson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071107000232 CA Practitioner - Physical Therapist in Private Practice 3173433828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebound Rehab Physical Therapy, Inc.Group PAC ID 5991892903, 4 clinicians

Practice addresses (Care Compare)

6526 Lonetree Blvd
Suite 200
Rocklin, CA 95765-5886
Phone (916) 772-2909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT28076CAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Performance Sports and Physical Therapy, Inc. Physical Therapist CurrentSince Jan 20, 2015 Accepting new patients
Rebound Rehab Physical Therapy, Inc. Physical Therapist CurrentSince Sep 18, 2007 Accepting new patients

Locations

6526 Lonetree Blvd
Ste 200
Rocklin, CA 95765
Phone (916) 772-2909

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1346326907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6526 LONETREE BLVD STE 200",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655886",
            "telephone_number": "916-772-2909",
            "fax_number": "916-772-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6526 LONETREE BLVD.",
            "address_2": "SUITE 200",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655874",
            "telephone_number": "916-772-2909",
            "fax_number": "916-772-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULBRANDSON",
        "first_name": "CHRISTOPHER",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT28076",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT28076",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "GULBRANDSON",
            "credential": "MPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.