Active NPI
Sutterhealth
- Physical Therapy Clinic/Center
- Elk Grove, CA
National Provider Identifier
1801940218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.