Organization Active NPI

Good Works Psychophysiology and Physical Therapy

  • Human Factors Physical Therapist
  • Roseville, CA
National Provider Identifier
1457875296
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Human Factors Physical TherapistTaxonomy code 2251H1300X
License
PT19666 Issued in CA
Legal business name
GOOD WORKS PSYCHOPHYSIOLOGY AND PHYSICAL THERAPY
Practice address
1650 Leadhill Blvd
600
Roseville, CA 95661
Phone
19167592000
NPI assigned
Aug 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Authorized official

Name
Rick Wurster, PT
Title
Owner
Phone
(916) 436-3559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Human Factors Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251H1300X PT19666 CA Primary

Addresses

Primary practice location

1650 Leadhill Blvd
600
Roseville, CA 95661

Mailing address

1650 Lead Hill Blvd
Roseville, CA 95661-3061
Phone (916) 759-2000

National Provider Directory

National Provider Directory

Locations

1650 Lead Hill Blvd
Roseville, CA 95661
Phone (916) 677-1200

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1457875296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LEAD HILL BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613061",
            "telephone_number": "19167592000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 LEADHILL BLVD",
            "address_2": "600",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "19167592000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD WORKS PSYCHOPHYSIOLOGY AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "WURSTER",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-436-3559",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251H1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Human Factors",
            "state": "CA",
            "license": "PT19666",
            "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 Aug 2, 2017; 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.