Individual provider Active NPI

Sarah Nobusada-Flynn

  • Physical Therapist
  • Alameda, CA
National Provider Identifier
1700493400
Registry record updated Sep 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1700 Park St Ste 200
Alameda, CA 94501-1571
Phone
(510) 521-5900
NPI assigned
Sep 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2020

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 CA Primary

Addresses

Primary practice location

1700 Park St Ste 200
Alameda, CA 94501-1571

Mailing address

1059 El Centro Ave Apt 1
Oakland, CA 94602-1456
Phone (925) 216-1737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201029001577 CA Practitioner - Physical Therapist in Private Practice 1658781893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rynz CorpGroup PAC ID 3375583495, 15 clinicians

Practice addresses (Care Compare)

1700 Park St
Suite 200
Alameda, CA 94501-1571
Phone (510) 521-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rynz Corp. Physical Therapist CurrentSince Oct 5, 2020 Accepting new patients

Locations

1700 Park St
Ste 200
Alameda, CA 94501
Phone (510) 521-5900

6937 Village Pkwy
Unit 2160
Dublin, CA 94568

1260 B St
Ste 250
Hayward, CA 94541
Phone (510) 247-9971

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1700493400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 EL CENTRO AVE APT 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021456",
            "telephone_number": "925-216-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PARK ST STE 200",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011571",
            "telephone_number": "510-521-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBUSADA-FLYNN",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; 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.