Kirsten Carmichael, DPT
Individual provider Active NPI Physical Therapist · Loomis, CA
NPI 1992015119 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1992015119
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 37218 (CA)
- Practice address
- 3291 Swetzer Rd
Loomis, CA 95650-7607 - Phone
- (530) 601-9729
- Fax
- (530) 746-0657
- NPI assigned
- Oct 21, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pondera Rehabilitation and Fitness PC
Practice addresses (Care Compare)
7311 Galilee Rd
Suite 175
Roseville, CA 95678-7209
Phone (530) 601-9729
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110103000623 | CA | Practitioner - Physical Therapist in Private Practice | 9739377979 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pondera Rehabilitation & Fitness, PC | Physical Therapist | Current |
Accepting new patients |
Locations
3291 Swetzer Rd
Loomis, CA 95650
Phone (530) 601-9729
7311 Galilee Rd
Ste 175
Roseville, CA 95678
Phone (530) 601-9729
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 37218 | CA | Yes |
Addresses
Primary practice location
3291 Swetzer Rd
Loomis, CA 95650-7607
Mailing address
3291 Swetzer Rd
Loomis, CA 95650-7607
Phone (530) 601-9729
Other providers in Loomis, CA
- Spenser Bradley
- Bright Beginnings Learning Center
- Jazmyn Brown
- Kathryn Taylor Porter Buchan
- Michael Steven Cagle
- CDT Service Corporation
- Jocelyn Clark
- Courtney Conklin
- Victor Ray Cordova
- Costco Wholesale Corporation
All providers in Loomis, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.