Individual provider Active NPI

Nayendra Dabresil, PT

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1841662343
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43186 Issued in CA
Practice address
7230 S Land Park Dr
Suite 105
Sacramento, CA 95831-3659
Phone
(916) 393-0497
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT43186 CA Primary
Physical Therapist 225100000X PT30631 FL

Addresses

Primary practice location

7230 S Land Park Dr
Suite 105
Sacramento, CA 95831-3659

Mailing address

4101 Innovator Dr
Apt 1027
Sacramento, CA 95834-3851
Phone (321) 947-9575

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
PT43186CAMDPhysical Therapist
PT30631FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1841662343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 INNOVATOR DR",
            "address_2": "APT 1027",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343851",
            "telephone_number": "321-947-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 S LAND PARK DR",
            "address_2": "SUITE 105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313659",
            "telephone_number": "916-393-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABRESIL",
        "first_name": "NAYENDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT43186",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.