Organization Active NPI

Sutterhealth

  • Physical Therapy Clinic/Center
  • Elk Grove, CA
National Provider Identifier
1801940218
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SUTTERHEALTH
Practice address
9280 W Stockton Blvd
Elk Grove, CA 95758-8073
Phone
(916) 683-2580
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Aaron Scott Fraser, A.T.C
Title
Certified Athletic Trainer
Phone
(916) 683-2580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X CA Primary

Addresses

Primary practice location

9280 W Stockton Blvd
Elk Grove, CA 95758-8073

Mailing address

5922 Palm Springs CT
Elk Grove, CA 95758-6149
Phone (916) 205-9264

National Provider Directory

National Provider Directory

Locations

9280 W Stockton Blvd
Elk Grove, CA 95758
Phone (916) 683-2580

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801940218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 PALM SPRINGS CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957586149",
            "telephone_number": "916-205-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W STOCKTON BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588073",
            "telephone_number": "916-683-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTERHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CERTIFIED ATHLETIC TRAINER",
        "authorized_official_telephone_number": "916-683-2580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "A.T.C"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.