Individual provider Active NPI

Kathleen Sedivec, PT, DPT

  • Physical Therapist
  • Redding, CA
National Provider Identifier
1902227754
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40851 Issued in CA
Practice address
320 Hartnell Ave
Redding, CA 96002-1846
Phone
(530) 226-9242
Fax
(530) 226-9070
NPI assigned
Dec 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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 PT40851 CA Primary

Addresses

Primary practice location

320 Hartnell Ave
Redding, CA 96002-1846

Mailing address

320 Hartnell Ave
Redding, CA 96002-1846
Phone (530) 226-9242

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

State licenses

LicenseStateTypeSpecialty
40851CAMDPharmacist
PT40851CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Foundation Past Accepting new patients
Southcentral Foundation 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": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1902227754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021846",
            "telephone_number": "530-226-9242",
            "fax_number": "530-226-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021846",
            "telephone_number": "530-226-9242",
            "fax_number": "530-226-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDIVEC",
        "first_name": "KATHLEEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT40851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.