Individual provider Active NPI

Sarah Andreshak

  • Physical Therapist
  • Tustin, CA
National Provider Identifier
1730040411
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
15000 Kensington Park Dr
Tustin, CA 92782-1830
Phone
(657) 859-6458
NPI assigned
Nov 20, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 Primary

Addresses

Primary practice location

15000 Kensington Park Dr
Tustin, CA 92782-1830

Mailing address

15000 Kensington Park Dr
Tustin, CA 92782-1830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205003813 CA Practitioner - Physical Therapist in Private Practice 1951894047 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Reekstin Enterprises Inc.Group PAC ID 3678603586, 13 clinicians
Core Total Body Physical Therapy PCGroup PAC ID 3678842663, 12 clinicians
Proactive Physical Therapy and Sports Medicine IncGroup PAC ID 1557369436, 51 clinicians

Practice addresses (Care Compare)

1027 N Harbor Blvd
Suite B
Fullerton, CA 92832-1362
Phone (714) 870-8478

120 S Chaparral CT
Suite 150
Anaheim, CA 92808-2278
Phone (714) 998-9580

15000 Kensington Park Dr
Suite 110
Tustin, CA 92782-1831
Phone (657) 859-6458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DPT Holdings PLLC Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients
Proactive Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Oct 24, 2025 Accepting new patients
Reekstin Enterprises Inc. Physical Therapist CurrentSince Mar 1, 2026 Accepting new patients

Locations

6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102

1027 N Harbor Blvd
Ste B
Fullerton, CA 92832
Phone (714) 870-8478

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

1026 E Chapman Ave
Ste B
Orange, CA 92866
Phone (714) 538-1952

15000 Kensington Park Dr
Ste 110
Tustin, CA 92782
Phone (657) 859-6458

Organizations & group practices 4

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": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1730040411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 KENSINGTON PARK DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 KENSINGTON PARK DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821830",
            "telephone_number": "657-859-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRESHAK",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.