Individual provider Active NPI

Brenda M Donaldson, P.T.

  • Physical Therapist
  • Rocklin, CA
National Provider Identifier
1891732996
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 28809 Issued in CA
Practice address
2217 Sunset Blvd
Suite 711
Rocklin, CA 95765-4781
Phone
(916) 435-3500
Fax
(916) 435-3503
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 28809 CA Primary

Addresses

Primary practice location

2217 Sunset Blvd
Suite 711
Rocklin, CA 95765-4781

Mailing address

2217 Sunset Blvd
Suite 711
Rocklin, CA 95765-4781
Phone (916) 435-3500

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PT 28809CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard P. Carr Physical Therapy Inc Physical Therapist Past Accepting new patients
Richard P Carr Physical Therapy Inc Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1891732996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 SUNSET BLVD",
            "address_2": "SUITE 711",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654781",
            "telephone_number": "916-435-3500",
            "fax_number": "916-435-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 SUNSET BLVD",
            "address_2": "SUITE 711",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654781",
            "telephone_number": "916-435-3500",
            "fax_number": "916-435-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "BRENDA",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 28809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.