Individual provider Active NPI

Kristia Ann Suutala, PT

  • Physical Therapist
  • Folsom, CA
National Provider Identifier
1487731519
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT14628 Issued in CA
Practice address
115 Natoma St
Folsom, CA 95630-2615
Phone
(916) 355-8500
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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 PT14628 CA Primary

Addresses

Primary practice location

115 Natoma St
Folsom, CA 95630-2615

Mailing address

115 Natoma St
Suite 203
Folsom, CA 95630-2615
Phone (916) 649-0700

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT14628CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Recovery Physical Therapy Inc Physical Therapist CurrentSince Apr 5, 2005 Accepting new patients
Folsom Physical Therapy & Training Center Inc Physical Therapist CurrentSince Sep 15, 2024 Accepting new patients
Recovery Physical Therapy,PC Physical Therapist PastSince Jun 13, 2005 Accepting new patients

Locations

115 Natoma St
Ste 203
Folsom, CA 95630

115 Natoma St
Folsom, CA 95630
Phone (916) 355-8500

650 University Ave
Ste 203
Sacramento, CA 95825
Phone (916) 649-0700

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1487731519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NATOMA ST",
            "address_2": "SUITE 203",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302615",
            "telephone_number": "916-649-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NATOMA ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302615",
            "telephone_number": "916-355-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUUTALA",
        "first_name": "KRISTIA",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.