Individual provider Active NPI

Rocky Pimentel Jr., PT, DPT

  • Physical Therapist
  • Stockton, CA
National Provider Identifier
1376314260
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
534 E Pine St Ste a
Stockton, CA 95204-5536
Phone
(209) 463-5800
NPI assigned
Jan 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 Primary

Addresses

Primary practice location

534 E Pine St Ste a
Stockton, CA 95204-5536

Mailing address

2004 Sunrise Ave
Modesto, CA 95350-3567
Phone (209) 497-1217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221004356 CA Practitioner - Physical Therapist in Private Practice 2466896089 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Bear Physical Therapy Sports Injury Center IncGroup PAC ID 2961423082, 85 clinicians

Practice addresses (Care Compare)

2119 E Hatch Rd
Suite a
Modesto, CA 95351-4814
Phone (209) 812-3055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JBJC Inc CurrentSince Jan 15, 2024 Accepting new patients
Sand Coast Rehab Physical Therapy Inc Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
JBJC Inc. Physical Therapist CurrentSince Jan 15, 2024 Accepting new patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Body in Balance Physical Therapy, Inc. Physical Therapist PastSince Feb 28, 1990 Accepting new patients
Physiomotion Physical Therapy, Inc. Physical Therapist PastSince Aug 8, 2016 Accepting new patients
Gold Country Therapies, Inc PastSince Jan 1, 2015 Accepting new patients

Locations

2222 Francisco Dr
Ste 120
El Dorado Hills, CA 95762
Phone (916) 235-4071

222 Acacia St
Fairfield, CA 94533
Phone (707) 421-0418

4080 N Cedar Ave
Fresno, CA 93726
Phone (559) 222-7497

17 Louie Ave
Lodi, CA 95240
Phone (209) 369-8282

2119 E Hatch Rd
Ste A
Modesto, CA 95351
Phone (209) 803-9163

1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946

1586 Constitution Blvd
Salinas, CA 93905
Phone (831) 276-0565

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

534 E Pine St
Ste A
Stockton, CA 95204
Phone (209) 463-5800

6385 Pacific Ave
Stockton, CA 95207
Phone (209) 477-9300

1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848

Organizations & group practices 7

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": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1376314260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 SUNRISE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953503567",
            "telephone_number": "209-497-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 E PINE ST STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045536",
            "telephone_number": "209-463-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "ROCKY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.