Active NPI
Suzanne Therese Talbert
- Physical Therapist
- Folsom, CA
National Provider Identifier
1780936328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22964
- Practice address
- 115 Natoma St
Folsom, CA 95630-2615 - Phone
- (916) 355-8500
- Fax
- (916) 355-8196
- NPI assigned
- Oct 5, 2012
- 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 | PT22964 | CA | Primary |
Addresses
Primary practice location
115 Natoma St
Folsom, CA 95630-2615
Mailing address
115 Natoma St
Folsom, CA 95630-2615
Phone (916) 355-8500
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT22964 | CA | MD | Physical Therapist |
| 22964 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Folsom Physical Therapy & Training Center Inc | Physical Therapist | Current | Accepting new patients |
| Milestone Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
115 Natoma St
Folsom, CA 95630
Phone (916) 355-8500
140 Diamond Creek Pl
Ste 125
Roseville, CA 95747
Phone (916) 206-3612
Organizations & group practices 2
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
- Folsom, CA
- NPI 1376379248
Physical Therapist
-
- Physical Therapist
- Roseville, CA
- NPI 1306422274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1780936328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 NATOMA ST",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956302615",
"telephone_number": "916-355-8500",
"fax_number": "916-355-8196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 NATOMA ST",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956302615",
"telephone_number": "916-355-8500",
"fax_number": "916-355-8196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALBERT",
"first_name": "SUZANNE",
"middle_name": "THERESE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-05",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT22964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.