Active NPI
Sau Physical Therapy Inc
- Physical Therapist
- Simi Valley, CA
National Provider Identifier
1447575600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22417
- Legal business name
- SAU PHYSICAL THERAPY INC
- Practice address
- 2796 Sycamore Dr Ste 100
Simi Valley, CA 93065-1549 - Phone
- (805) 520-3575
- Fax
- (805) 520-3515
- NPI assigned
- Mar 31, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Sau, PT
- Title
- President/Owner
- Phone
- (805) 520-3575
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT22417 | CA | Primary |
Addresses
Primary practice location
2796 Sycamore Dr Ste 100
Simi Valley, CA 93065-1549
Mailing address
2796 Sycamore Dr Ste 100
Simi Valley, CA 93065-1549
Phone (805) 520-3575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3310 E Los Angeles Ave
Ste B
Simi Valley, CA 93063
Phone (805) 520-3575
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Simi Valley, CA
- NPI 1093731580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597104000000",
"number": "1447575600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2796 SYCAMORE DR STE 100",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651549",
"telephone_number": "805-520-3575",
"fax_number": "805-520-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2796 SYCAMORE DR STE 100",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651549",
"telephone_number": "805-520-3575",
"fax_number": "805-520-3515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAU PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-31",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A",
"authorized_official_last_name": "SAU",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "805-520-3575",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT22417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.