Active NPI
Joann Maria Vasconcellos
- Physical Therapist
- Sacramento, CA
National Provider Identifier
1932762226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 296495
- Practice address
- 3240 Arden Way
Sacramento, CA 95825-2015 - Phone
- (916) 486-5400
- NPI assigned
- Apr 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4217 | MA | |
| Physical Therapist | 225100000X | 2415 | NH | |
| Physical Therapist | 225100000X | 012655 | AZ | |
| Physical Therapist | 225100000X | 296495 | CA | Primary |
Addresses
Primary practice location
3240 Arden Way
Sacramento, CA 95825-2015
Mailing address
PO Box 298
Chocorua, NH 03817-0298
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4217 | MA | MD | Clinical Psychologist |
| 012655 | AZ | MD | Physical Therapist |
| 296495 | CA | MD | Physical Therapist |
| 2415 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1932762226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 298",
"city": "CHOCORUA",
"state": "NH",
"postal_code": "038170298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3240 ARDEN WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958252015",
"telephone_number": "916-486-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASCONCELLOS",
"first_name": "JOANN",
"middle_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-22",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "4217",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "2415",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "012655",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "296495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.