Active NPI
Sarah Colleen Dirksen, D.P.T., P.T.
- Physical Therapist
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39643
- Practice address
- 4318 Spyres Way
Modesto, CA 95356-9259 - Phone
- (209) 576-0710
- NPI assigned
- Jan 4, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 39643 | CA | Primary |
Addresses
Primary practice location
4318 Spyres Way
Modesto, CA 95356-9259
Mailing address
1424 Glen Aulen Dr
Modesto, CA 95350-0607
Phone (209) 684-5594
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1519 W Yosemite Ave
Manteca, CA 95337-5159
Phone (209) 823-3322
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.73 of 100
- Quality
- 41.21
- Improvement activities
- 40
- Cost
- 83.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39643 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Bear Physical Therapy Sports Injury Center, Inc | Physical Therapist | Current | Accepting new patients |
| Gold Country Therapies, Inc | Past | Accepting new patients | |
| Motus Physical Therapy and Performance Inc | Physical Therapist | Past | Accepting new patients |
| Tokheim Corbett Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Golden Bear Physical Therapy | Past | Accepting new patients |
Locations
1519 W Yosemite Ave
Manteca, CA 95337
Phone (209) 265-3038
1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946
1518 Coffee Rd
Ste I
Modesto, CA 95355
4318 Spyres Way
Modesto, CA 95356
Phone (209) 284-4910
1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288
1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Modesto, CA
- NPI 1811084676
Physical Therapist
-
- Physical Therapy Clinic/Center
- Valley Springs, CA
- NPI 1447658067
-
- Physical Therapy Assistant
- Modesto, CA
- NPI 1841669710
-
- Physical Therapist
- Manteca, CA
- NPI 1801384680
-
- Physical Therapist
- Manteca, CA
- NPI 1316979800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1386981728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 GLEN AULEN DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953500607",
"telephone_number": "209-684-5594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4318 SPYRES WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569259",
"telephone_number": "209-576-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIRKSEN",
"first_name": "SARAH",
"middle_name": "COLLEEN",
"name_prefix": "Dr.",
"credential": "D.P.T., P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-04",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.