Active NPI
McCarthy Physical Therapy and Sports Center, Inc.
- Physical Therapist
- Roseville, CA
National Provider Identifier
1629073788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8842
- Legal business name
- MCCARTHY PHYSICAL THERAPY AND SPORTS CENTER, INC.
- Practice address
- 114 N Sunrise Ave
Ste B1
Roseville, CA 95661-2916 - Phone
- (916) 789-1384
- Fax
- (916) 782-7113
- NPI assigned
- Jun 16, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy B McCarthy, PT
- Title
- Physical Therapist/Owner
- Phone
- (916) 789-1384
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT8842 | CA | Primary |
Addresses
Primary practice location
114 N Sunrise Ave
Ste B1
Roseville, CA 95661-2916
Mailing address
114 N Sunrise Ave
Ste B1
Roseville, CA 95661-2916
Phone (916) 789-1384
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Roseville, CA
- NPI 1326136276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629073788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 N SUNRISE AVE",
"address_2": "STE B1",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612916",
"telephone_number": "916-789-1384",
"fax_number": "916-782-7113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 N SUNRISE AVE",
"address_2": "STE B1",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612916",
"telephone_number": "916-789-1384",
"fax_number": "916-782-7113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCARTHY PHYSICAL THERAPY AND SPORTS CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCCARTHY",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "916-789-1384",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT8842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.