Individual provider Active NPI

Suzanne Therese Talbert

  • Physical Therapist
  • Folsom, CA
National Provider Identifier
1780936328
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22964 Issued in CA
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

Updated by the provider on Oct 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT22964CAMDPhysical Therapist
22964CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Folsom Physical Therapy & Training Center Inc Physical Therapist CurrentSince Sep 15, 2024 Accepting new patients
Milestone Physical Therapy Inc Physical Therapist CurrentSince Aug 18, 2021 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.

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.

Verify at the official NPI Registry.