Active NPI
Trina Pendleton
- Physical Therapist
- Fairfield, CA
National Provider Identifier
1740175470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 308186
- Practice address
- 2420 Martin Rd Ste 380
Fairfield, CA 94534-8610 - Phone
- (707) 437-9001
- NPI assigned
- Jun 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 308186 | CA | Primary |
Addresses
Primary practice location
2420 Martin Rd Ste 380
Fairfield, CA 94534-8610
Mailing address
1449 Woolner Ave
Fairfield, CA 94533-5928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2420 Martin Rd
Suite 380
Fairfield, CA 94534-8610
Phone (707) 437-9001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308186 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Cal Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Select Cal Physical Therapy PC | Current | Accepting new patients | |
| Select Cal Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
2420 Martin Rd
Ste 380
Fairfield, CA 94534
Phone (707) 437-9001
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.
-
- Physical Therapy Clinic/Center
- Los Gatos, CA
- NPI 1417619008
Physical Therapist
-
- Physical Therapy Clinic/Center
- Morgan Hill, CA
- NPI 1487317004
Physical Therapist
-
- Physical Therapy Clinic/Center
- Corte Madera, CA
- NPI 1851054480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1740175470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1449 WOOLNER AVE",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 MARTIN RD STE 380",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945348610",
"telephone_number": "707-437-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDLETON",
"first_name": "TRINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "308186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.