Active NPI
Sherri L Peterson, PT
- Physical Therapist
- Auburn, CA
National Provider Identifier
1497449094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13229
- Practice address
- 11879 Kemper Rd Ste 4
Auburn, CA 95603-9021 - Phone
- (530) 885-3940
- Fax
- (530) 885-3984
- NPI assigned
- Jun 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13229 | CA | Primary |
Addresses
Primary practice location
11879 Kemper Rd Ste 4
Auburn, CA 95603-9021
Mailing address
11879 Kemper Rd Ste 4
Auburn, CA 95603-9021
Other practice location 1
565 Brunswick Rd Ste 4
Grass Valley, CA 95945-9529
Phone (530) 273-4152
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1497449094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11879 KEMPER RD STE 4",
"city": "AUBURN",
"state": "CA",
"postal_code": "956039021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11879 KEMPER RD STE 4",
"city": "AUBURN",
"state": "CA",
"postal_code": "956039021",
"telephone_number": "530-885-3940",
"fax_number": "530-885-3984"
}
],
"practiceLocations": [
{
"address_1": "565 Brunswick Rd Ste 4",
"address_purpose": "LOCATION",
"city": "Grass Valley",
"state": "CA",
"postal_code": "959459529",
"country_code": "US",
"telephone_number": "530-273-4152",
"fax_number": "530-273-4153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSON",
"first_name": "SHERRI",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "13229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.