Individual provider Active NPI

Courtney L Kerstetter

  • Physical Therapist
  • Roseville, CA
National Provider Identifier
1447868773
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1600 Eureka Rd
Roseville, CA 95661-3027
Phone
(530) 401-3523
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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 Primary

Addresses

Primary practice location

1600 Eureka Rd
Roseville, CA 95661-3027

Mailing address

3565 Mary LN
Auburn, CA 95602-8820
Phone (530) 401-3523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210927002423 CA Practitioner - Physical Therapist in Private Practice 5092112516 Reassigns benefits to 1 organization
I20221018002023 MT Practitioner - Physical Therapist in Private Practice 5092112516 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Jun 15, 2021 Accepting new patients
Billings Clinic CurrentSince Oct 17, 2022 Accepting new patients
Billings Clinic CurrentSince Oct 17, 2022 Accepting new patients
Billings Clinic Current Accepting new patients
Orthopaedic and Neurological Rehab Inc Physical Therapist CurrentSince Jun 15, 2021 Accepting new patients
Billings Clinic Past Accepting new patients

Locations

2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017

3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

3905 Wellness Way
Bozeman, MT 59718
Phone (406) 587-9202

3901 Wellness Way
Bozeman, MT 59718
Phone (406) 898-1200

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 6

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1447868773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 MARY LN",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028820",
            "telephone_number": "530-401-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 EUREKA RD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613027",
            "telephone_number": "530-401-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSTETTER",
        "first_name": "COURTNEY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.