Individual provider Active NPI

Victoria Nnoli

  • Physical Therapy Assistant
  • Rancho Cordova, CA
National Provider Identifier
1780133264
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
52777 Issued in CA
Practice address
3320 Data Dr Ste 400
Rancho Cordova, CA 95670-7341
Phone
(916) 564-5010
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 08967 OR
Physical Therapy Assistant 225200000X 52777 CA Primary

Addresses

Primary practice location

3320 Data Dr Ste 400
Rancho Cordova, CA 95670-7341

Mailing address

2245 Woodside LN Unit 6
Sacramento, CA 95825-7493

Other practice location 1

425 Alexander Loop
Eugene, OR 97401-6524
Phone (541) 345-6199

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

State licenses

LicenseStateTypeSpecialty
08967ORMDPhysical Therapy Assistant
52777CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Education Solutions CurrentSince Jan 14, 2024 Accepting new patients

Locations

3320 Data Dr
Ste 400
Rancho Cordova, CA 95670
Phone (916) 564-5010

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1780133264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 WOODSIDE LN UNIT 6",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 DATA DR STE 400",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707341",
            "telephone_number": "916-564-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Alexander Loop",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974016524",
            "country_code": "US",
            "telephone_number": "541-345-6199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NNOLI",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "08967",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "52777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.