Timberlake Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT51170 Issued in CA

Legal business name

TIMBERLAKE PHYSICAL THERAPY, INC.

Practice address

7551 Timberlake Way
Suite 200
Sacramento, CA 95823-5420

Phone

(916) 691-0446

Fax

(916) 691-9146

NPI assigned

Jan 23, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn T. Peretti, PTNPI 1124209861

Title

President

Phone

(916) 691-0446

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn T Peretti, PT

  • Physical Therapist
  • Sacramento, CA
  • NPI 1124209861
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1295740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295740800000",
    "number": "1881999811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232330",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958230422",
            "telephone_number": "916-691-0446",
            "fax_number": "916-691-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 TIMBERLAKE WAY",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235420",
            "telephone_number": "916-691-0446",
            "fax_number": "916-691-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLAKE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-23",
        "last_updated": "2011-01-23",
        "status": "A",
        "authorized_official_last_name": "PERETTI",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-691-0446",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT51170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina P. Tillo
• Scott Thomas Tilson, P.T.
• Patti A. Tilton, MD
• Timberlake Family Practice a Medical Corporation
• Timberlake Pharmacy, Inc.
• Briana Raeann Timberlake
• Kenya Times
• Caroline Timmer
• Susan G Timmer, PHD
• Julia Timmons

• Physical Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.