Active NPI
Janette Fetterly, P.T
- Physical Therapist
- Auburn, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34641
- Practice address
- 11930 Heritage Oak PL Ste 9
Auburn, CA 95603-2458 - Phone
- (530) 887-8785
- NPI assigned
- Aug 28, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.00013494 | CO | |
| Physical Therapist | 225100000X | 34641 | CA | Primary |
| Physical Therapist | 225100000X | PT60569869 | WA |
Addresses
Primary practice location
11930 Heritage Oak PL Ste 9
Auburn, CA 95603-2458
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Other practice location 1
21806 103rd Avenue Ct E
Ste 103
Graham, WA 98338-8115
Phone (253) 847-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11990 Heritage Oak PL
Suite 8
Auburn, CA 95603-2405
Phone (530) 823-6835
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34641 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PTL.00013494 | CO | MD | Physical Therapist |
| PT60569869 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burger Physical Therapy Services Inc | Current | Accepting new patients | |
| Burger Physical Therapy and Rehabilitation Agency Inc | Past | Accepting new patients |
Locations
11990 Heritage Oak Pl
Ste 8
Auburn, CA 95603
Phone (530) 823-6835
1301 E Bidwell St
Ste 201
Folsom, CA 95630
7200 S Land Park Dr
Ste 300
Sacramento, CA 95831
Phone (916) 391-5010
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Folsom, CA
- NPI 1356352082
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Folsom, CA
- NPI 1457333908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1376910067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11930 HERITAGE OAK PL STE 9",
"city": "AUBURN",
"state": "CA",
"postal_code": "956032458",
"telephone_number": "530-887-8785"
}
],
"practiceLocations": [
{
"address_1": "21806 103rd Avenue Ct E",
"address_2": "Ste 103",
"address_purpose": "LOCATION",
"city": "Graham",
"state": "WA",
"postal_code": "983388115",
"country_code": "US",
"telephone_number": "253-847-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FETTERLY",
"first_name": "JANETTE",
"credential": "P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-28",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.00013494",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34641",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60569869",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 10, 2026; 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.