Lymphedema Treatment Center Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT15055 Issued in CA

Legal business name

LYMPHEDEMA TREATMENT CENTER INC

Practice address

7529 Sunset Ave
Ste C-3
Fair Oaks, CA 95628-4722

Phone

(916) 966-2213

Fax

(916) 966-7060

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Hallie Aldridge, RN

Title

Ceo Owner

Phone

(916) 966-2213

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1871546861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7529 SUNSET AVE",
            "address_2": "STE C-3",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284722",
            "telephone_number": "916-966-2213",
            "fax_number": "916-966-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7529 SUNSET AVE",
            "address_2": "STE C-3",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284722",
            "telephone_number": "916-966-2213",
            "fax_number": "916-966-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA TREATMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ALDRIDGE",
        "authorized_official_first_name": "HALLIE",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "916-966-2213",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN213941",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17656",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME MEDICAL DEVICE RETAI",
            "identifier": "43032",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.