Active NPI
Kathleen Sedivec, PT, DPT
- Physical Therapist
- Redding, CA
National Provider Identifier
1902227754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT40851
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 40851 | CA | MD | Pharmacist |
| PT40851 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
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- NPI 1255881637
-
- Multi-Specialty Clinic/Center
- Wasilla, AK
- NPI 1386680056
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.