Individual provider Active NPI

Andrew Boyd, DPT

  • Physical Therapist
  • Rocklin, CA
National Provider Identifier
1518791771
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306789 Issued in CA
Practice address
6526 Lonetree Blvd Ste 200
Rocklin, CA 95765-5886
Phone
(916) 772-2909
NPI assigned
Aug 29, 2024
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 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 306789 CA Primary

Addresses

Primary practice location

6526 Lonetree Blvd Ste 200
Rocklin, CA 95765-5886

Mailing address

3636 McCourtney Rd
Lincoln, CA 95648-9716
Phone (215) 240-0309

Other identifiers 1

IdentifierTypeStateIssuer
306789OtherCAPHYSICAL THERAPY BOARD OF CALIFORNIA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920001640 CA Practitioner - Physical Therapist in Private Practice 0749721488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebound Rehab Physical Therapy, Inc.Group PAC ID 5991892903, 4 clinicians

Practice addresses (Care Compare)

6526 Lonetree Blvd
Suite 200
Rocklin, CA 95765-5886
Phone (916) 772-2909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Performance Sports and Physical Therapy, Inc. Physical Therapist CurrentSince Aug 29, 2024 Accepting new patients
Rebound Rehab Physical Therapy, Inc. Physical Therapist CurrentSince Aug 29, 2024 Accepting new patients

Locations

6526 Lonetree Blvd
Ste 200
Rocklin, CA 95765
Phone (916) 772-2909

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1518791771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 MCCOURTNEY RD",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956489716",
            "telephone_number": "215-240-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6526 LONETREE BLVD STE 200",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655886",
            "telephone_number": "916-772-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA LICENSE",
            "identifier": "306789",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.