Individual provider Active NPI

Sarah Colleen Dirksen, D.P.T., P.T.

  • Physical Therapist
  • Modesto, CA
National Provider Identifier
1386981728
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39643 Issued in CA
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

Updated by the provider on Sep 11, 2023

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 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

Enrollment IDStateProvider typePAC IDDetails
I20181008001920 CA Practitioner - Physical Therapist in Private Practice 9335491026 Reassigns benefits to 1 organization

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
Golden Bear Physical Therapy Sports Injury Center IncGroup PAC ID 2961423082, 85 clinicians

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 100Reported as group
Quality
41.21
Improvement activities
40
Cost
83.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39643CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Aug 27, 2018 Accepting new patients
Gold Country Therapies, Inc PastSince Jan 1, 2015 Accepting new patients
Motus Physical Therapy and Performance Inc Physical Therapist PastSince Jan 1, 2018 Accepting new patients
Tokheim Corbett Physical Therapy Physical Therapist PastSince Sep 1, 2004 Accepting new patients
Golden Bear Physical Therapy PastSince Sep 17, 2023 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.

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.

Verify at the official NPI Registry.