Roseville Orthopedic Physical Therapy Professional Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ROSEVILLE ORTHOPEDIC PHYSICAL THERAPY PROFESSIONAL CORPORATION

Practice address

151 N Sunrise Ave
#1005
Roseville, CA 95661-2924

Phone

(916) 782-1217

Fax

(916) 782-7630

NPI assigned

May 11, 2011

Organization subpart

No

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

Authorized official

Name

Ann Bullis

Title

Administrator

Phone

(916) 782-1217

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1487946273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE",
            "address_2": "#1005",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612924",
            "telephone_number": "916-782-1217",
            "fax_number": "916-782-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE",
            "address_2": "#1005",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612924",
            "telephone_number": "916-782-1217",
            "fax_number": "916-782-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE ORTHOPEDIC PHYSICAL THERAPY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "BULLIS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-782-1217"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseville Joint Union High School District
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• Roseville Orthopedic Group a Medical Corp
• Roseville Orthopedics Group a Medical Corp
• Roseville Pain Management, Inc
• Roseville Pediatric Medical Group, Inc
• Roseville Point Health & Wellness Center LLC
• Roseville Site for Vision Products, Inc.

• Physical Therapist in Roseville, CA
• Providers in Roseville, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.