MARY ANNELISE RASMUSSEN
NPI 1073074290
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Sacramento, CA

Q: What is Mary Rasmussen's NPI number?

The NPI number for Mary Rasmussen is 1073074290. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Q: What is Mary Rasmussen's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Q: When was this NPI record last updated?

The NPPES record for Mary Rasmussen was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 29, 2019PECOS Enrolled

4860 Y ST STE 3850, SACRAMENTO, CA 95817(916) 734-5293 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mary Annelise Rasmussen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANNELISE RASMUSSEN (NPI 1073074290) is an individual pediatric rehabilitation medicine provider in Sacramento, California, licensed in California (A180647) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073074290

Entity TypeIndividualFemale

Primary Taxonomy2081P0010X

Provider Legal NameMARY ANNELISE RASMUSSEN

Location Address4860 Y ST STE 3850Sacramento, CA 95817-2307

Mailing Address4860 Y St Ste 3850Sacramento, CA 95817-2307

Phone(916) 734-5293

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 29, 2019

Last NPPES UpdateAugust 25, 2025

NPPES CertifiedAugust 25, 2025

✔ NPI 1073074290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P0010X

License✔ Licensed in CA · A180647

Definition

A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

Also ListedPediatricsTaxonomy 208000000X · License A180647 (CA)

4860 Y ST STE 3850, Sacramento, CA 95817

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Annelise Rasmussen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991188872

PECOS Enrollment IDI20250924003827

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL MARTIN POLIS MD

Student in an Organized Health Care Education/Training Program