Individual provider Active NPI

Sumeet Bhardwaj, PTA

  • Physical Medicine & Rehabilitation Physician
  • Lincoln, CA
National Provider Identifier
1639039985
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
54531 Issued in CA
Practice address
150 Gateway Dr Ste a
Lincoln, CA 95648-3316
Phone
(916) 434-9572
Fax
(916) 434-9063
NPI assigned
Nov 17, 2025
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 54531 CA Primary

Addresses

Primary practice location

150 Gateway Dr Ste a
Lincoln, CA 95648-3316

Mailing address

1119 Wallace Way
Yuba City, CA 95993-9122
Phone (916) 434-9572

Other practice location 1

1103 Butte House Rd
Yuba City, CA 95991-3109
Phone (530) 329-8490

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

LicenseStateTypeSpecialty
54531CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Physical and Occupational Therapy, Inc CurrentSince Nov 24, 2025 Accepting new patients

Locations

150 Gateway Dr
Ste A
Lincoln, CA 95648
Phone (916) 434-9572

Organizations & group practices 1

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": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1639039985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 WALLACE WAY",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959939122",
            "telephone_number": "916-434-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GATEWAY DR STE A",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956483316",
            "telephone_number": "916-434-9572",
            "fax_number": "916-434-9063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 Butte House Rd",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959913109",
            "country_code": "US",
            "telephone_number": "530-329-8490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHARDWAJ",
        "first_name": "SUMEET",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "54531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.