Organization Active NPI

Sau Physical Therapy Inc

  • Physical Therapist
  • Simi Valley, CA
National Provider Identifier
1447575600
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22417 Issued in CA
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

Updated by the provider on Aug 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandra Sau, PTNPI 1093731580
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20101105001055 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810182631 Receives reassigned benefits from 1 practitioner
Practice locations: Simi Valley, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.