Individual provider Active NPI

Lo Saechao, MPT

  • Geriatric Physical Therapist
  • Sacramento, CA
National Provider Identifier
1730422957
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
39083 Issued in CA
Practice address
8556 New Star Cir
Sacramento, CA 95828-7525
Phone
(916) 833-5668
NPI assigned
Apr 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 39083 CA Primary

Addresses

Primary practice location

8556 New Star Cir
Sacramento, CA 95828-7525

Mailing address

8556 New Star Cir
Sacramento, CA 95828-7525
Phone (916) 833-5668

Other identifiers 1

IdentifierTypeStateIssuer
39083OtherCAPHYSICAL THERAPY BOARD OF CALIFORNIA

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
39083CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Prodigy Rehabilitation Group Inc. Geriatrics CurrentSince Jan 15, 2025 Accepting new patients
New Life Physical Therapy Services, PC Geriatrics CurrentSince Aug 21, 2021 Accepting new patients
Qarmon PC Past Accepting new patients

Locations

17122 Beach Blvd
Ste 101
Huntington Beach, CA 92647
Phone (714) 848-7191

2800 El Camino Real
Redwood City, CA 94061
Phone (650) 509-5823

300 Fountaingrove Pkwy
Santa Rosa, CA 95403
Phone (707) 359-5005

Organizations & group practices 3

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": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1730422957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8556 NEW STAR CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958287525",
            "telephone_number": "916-833-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8556 NEW STAR CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958287525",
            "telephone_number": "916-833-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAECHAO",
        "first_name": "LO",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "39083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "39083",
            "state": "CA"
        }
    ],
    "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 Apr 5, 2013; 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.