Active NPI
Patrick Ross Hulan, PT, DPT, CSCS
- Physical Therapist
- Sacramento, CA
National Provider Identifier
1558995829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-6809
- Practice address
- 2315 Stockton Blvd
Sacramento, CA 95817-2201 - Phone
- (615) 566-7104
- NPI assigned
- Feb 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-6809 | ID | Primary |
| Physical Therapist | 225100000X | 302248 | CA |
Addresses
Primary practice location
2315 Stockton Blvd
Sacramento, CA 95817-2201
Mailing address
2465 Cabin Hill Rd
Nashville, TN 37214-1535
Phone (615) 566-7104
Other practice location 1
701 Lewiston St
Cottonwood, ID 83522-9750
Phone (208) 962-3251
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302248 | CA | MD | Physical Therapist |
| PT-6809 | ID | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1558995829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2465 CABIN HILL RD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372141535",
"telephone_number": "615-566-7104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172201",
"telephone_number": "615-566-7104"
}
],
"practiceLocations": [
{
"address_1": "701 Lewiston St",
"address_purpose": "LOCATION",
"city": "Cottonwood",
"state": "ID",
"postal_code": "835229750",
"country_code": "US",
"telephone_number": "208-962-3251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HULAN",
"first_name": "PATRICK",
"middle_name": "ROSS",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-26",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-6809",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "302248",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.