Individual provider Active NPI

Rebecca Elizabeth Henrich, PT, DPT

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1619674553
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303647 Issued in CA
Practice address
1610 Arden Way Ste 195
Sacramento, CA 95815-4035
Phone
(916) 649-1379
NPI assigned
Feb 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 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 303647 CA Primary

Addresses

Primary practice location

1610 Arden Way Ste 195
Sacramento, CA 95815-4035

Mailing address

1610 Arden Way Ste 195
Sacramento, CA 95815-4035

Other practice location 1

1425 River Park Dr Ste 404
Sacramento, CA 95815-4524
Phone (916) 649-1379

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230224002012 CA Practitioner - Physical Therapist in Private Practice 4183097959 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Orthopedic Leaders Physical Therapy IncGroup PAC ID 0446146708, 42 clinicians

Practice addresses (Care Compare)

1650 Lead Hill Blvd
Roseville, CA 95661-3061
Phone (916) 677-1210

1650 Lead Hill Blvd
Suite 300
Roseville, CA 95661-3072
Phone (916) 677-1210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303647CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy & Rehabilitation Services, PC Physical Therapist CurrentSince Feb 13, 2023 Accepting new patients
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist CurrentSince Oct 5, 2025 Accepting new patients
Sacramento Spine & Physical Therapy Inc. CurrentSince May 8, 2023 Accepting new patients
Physical Therapy & Rehabilitation Services, PC CurrentSince Feb 13, 2023 Accepting new patients
Sacramento Spine & Physical Therapy Inc. Physical Therapist Past Accepting new patients

Locations

4341 Piedmont Ave
Ste 103
Oakland, CA 94611
Phone (510) 547-1630

1650 Lead Hill Blvd
Roseville, CA 95661
Phone (916) 677-1200

1650 Lead Hill Blvd
Ste 300
Roseville, CA 95661
Phone (916) 677-1210

1610 Arden Way
Ste 195
Sacramento, CA 95815
Phone (916) 407-0082

Organizations & group practices 5

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": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1619674553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 ARDEN WAY STE 195",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 ARDEN WAY STE 195",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154035",
            "telephone_number": "916-649-1379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 River Park Dr Ste 404",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958154524",
            "country_code": "US",
            "telephone_number": "916-649-1379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRICH",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303647",
            "primary": true
        }
    ],
    "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 8, 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.