Individual provider Active NPI

Sydney Hesser

  • Physical Therapist
  • Saratoga, CA
National Provider Identifier
1538991633
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306542 Issued in CA
Practice address
12930 Saratoga Ave Ste B5
Saratoga, CA 95070-4661
Phone
(408) 973-7700
NPI assigned
Aug 16, 2024
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 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 306542 CA Primary

Addresses

Primary practice location

12930 Saratoga Ave Ste B5
Saratoga, CA 95070-4661

Mailing address

12930 Saratoga Ave Ste B5
Saratoga, CA 95070-4661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920002147 CA Practitioner - Physical Therapist in Private Practice 1850832502 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optm Physical Therapy of Saratoga, Inc. Physical Therapist CurrentSince Aug 22, 2024 Accepting new patients

Locations

12930 Saratoga Ave
Ste B5
Saratoga, CA 95070
Phone (408) 763-4905

Organizations & group practices 1

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": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1538991633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 SARATOGA AVE STE B5",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 SARATOGA AVE STE B5",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704661",
            "telephone_number": "408-973-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSER",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.