Individual provider Active NPI

Patrick Tanseco, DPT

  • Physical Therapist
  • Rancho Cordova, CA
National Provider Identifier
1457187809
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305602 Issued in CA
Practice address
10670 White Rock Rd Ste 100
Rancho Cordova, CA 95670-6146
Phone
(916) 364-1733
NPI assigned
Sep 11, 2024
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 305602 CA Primary

Addresses

Primary practice location

10670 White Rock Rd Ste 100
Rancho Cordova, CA 95670-6146

Mailing address

22250 W Hacienda Dr
Grass Valley, CA 95949-8333
Phone (714) 262-8264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
305602CAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1457187809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 W HACIENDA DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959498333",
            "telephone_number": "714-262-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 WHITE ROCK RD STE 100",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706146",
            "telephone_number": "916-364-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANSECO",
        "first_name": "PATRICK",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.