Active NPI
Raymund Sayco Acacio, P.T.
- Physical Therapist
- Antioch, CA
National Provider Identifier
1740512144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 37511
- Practice address
- 4001 Lone Tree Way
Antioch, CA 94509 - Phone
- (925) 754-0470
- Fax
- (925) 754-2775
- NPI assigned
- Feb 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 37511 | CA | Primary |
Addresses
Primary practice location
4001 Lone Tree Way
Antioch, CA 94509
Mailing address
4560 SE International Way
Ste. 100
Milwaukie, OR 97222
Phone (971) 206-5200
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1740512144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY",
"address_2": "STE. 100",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "97222",
"telephone_number": "971-206-5200",
"fax_number": "971-206-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 LONE TREE WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94509",
"telephone_number": "925-754-0470",
"fax_number": "925-754-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACACIO",
"first_name": "RAYMUND",
"middle_name": "SAYCO",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-10",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "37511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.