Individual provider Active NPI

Alysa Koreen Caulfield

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1730197732
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25185 Issued in CA
Practice address
1308 28TH St
Sacramento, CA 95816-6002
Phone
(916) 446-1497
NPI assigned
Aug 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT25185 CA Primary

Addresses

Primary practice location

1308 28TH St
Sacramento, CA 95816-6002

Mailing address

1308 28TH St
Sacramento, CA 95816-6002
Phone (916) 446-1497

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

LicenseStateTypeSpecialty
PT25185CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Physical Therapy Center Inc Physical Therapist CurrentSince Nov 10, 2021 Accepting new patients

Locations

8211 Sierra College Blvd
Ste 400
Roseville, CA 95661
Phone (916) 782-2761

1308 28th St
Sacramento, CA 95816
Phone (916) 446-1497

2033 Howe Ave
Ste 110
Sacramento, CA 95825
Phone (916) 446-1497

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730197732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 28TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166002",
            "telephone_number": "916-446-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 28TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166002",
            "telephone_number": "916-446-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAULFIELD",
        "first_name": "ALYSA",
        "middle_name": "KOREEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.