Active NPI
Theresa Dolores Magee, PT
- Physical Therapist
- Orangevale, CA
National Provider Identifier
1629651260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13235
- Practice address
- 8685 Greenback LN
Orangevale, CA 95662-3987 - Phone
- (800) 967-4667
- NPI assigned
- May 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13235 | CA | Primary |
Addresses
Primary practice location
8685 Greenback LN
Orangevale, CA 95662-3987
Mailing address
2133 Edith St
Sacramento, CA 95864-0710
Phone (916) 837-4916
Other names 1
- Theresa Dolores Roche
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13235 | CA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619913600000",
"number": "1629651260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2133 EDITH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958640710",
"telephone_number": "916-837-4916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8685 GREENBACK LN",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956623987",
"telephone_number": "800-967-4667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGEE",
"first_name": "THERESA",
"middle_name": "DOLORES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-02",
"last_updated": "2021-05-02",
"certification_date": "2021-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "13235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "ROCHE",
"middle_name": "DOLORES",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Orangevale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.