Individual provider Active NPI

Kirstyn Ormsby, DPT

  • Physical Therapist
  • Folsom, CA
National Provider Identifier
1578281861
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302645 Issued in CA
Practice address
1301 E Bidwell St Ste 101
Folsom, CA 95630-3565
Phone
(916) 983-5900
Fax
(916) 983-5913
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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 302645 CA Primary

Addresses

Primary practice location

1301 E Bidwell St Ste 101
Folsom, CA 95630-3565

Mailing address

1301 E Bidwell St Ste 201
Folsom, CA 95630-3565
Phone (916) 983-5915

Other identifiers 1

IdentifierTypeStateIssuer
302645OtherCALICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WWW.BURGERREHAB.COM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220930000718 CA Practitioner - Physical Therapist in Private Practice 0244616191 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302645CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Feb 27, 2023 Accepting new patients
Permanente Medical Group Inc CurrentSince Feb 27, 2023 Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc PastSince Aug 28, 2022 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

1011 Riverside Ave
Roseville, CA 95678
Phone (916) 746-4578

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1578281861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E BIDWELL ST STE 201",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303565",
            "telephone_number": "916-983-5915",
            "fax_number": "916-983-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E BIDWELL ST STE 101",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303565",
            "telephone_number": "916-983-5900",
            "fax_number": "916-983-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORMSBY",
        "first_name": "KIRSTYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "302645",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.BURGERREHAB.COM",
            "affiliation": "N",
            "address_1": "1301 E Bidwell St Ste 101",
            "city": "Folsom",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956303565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.