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SIERRA PEDIATRIC THERAPY CLINIC
NPI 1639579758
Physical Therapist - Pediatrics in Roseville, CA

Active since August 26, 2014
720 SUNRISE AVE, SUITE D110, ROSEVILLE, CA 95661(916) 791-2747(916) 791-2189 Get Directions Write a Review

NPPES record last updated: November 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sierra Pediatric Therapy Clinic NPPES

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

SIERRA PEDIATRIC THERAPY CLINIC (NPI 1639579758) is a healthcare organization registered as a pediatrics in Roseville, California and active in the NPI registry since August 2014. The organization lists Kristine N. Corn, Owner, as its authorized official.

NPPES Registry Identity

NPI1639579758
Entity TypeOrganization
Primary Taxonomy2251P0200X
Legal Business NameSIERRA PEDIATRIC THERAPY CLINIC
Location Address720 SUNRISE AVE, SUITE D110Roseville, CA 95661-4516
Mailing Address720 Sunrise Ave, Suite D110Roseville, CA 95661-4516 · (916) 791-2747 · Fax (916) 791-2189
Phone(916) 791-2747
Fax(916) 791-2189
Organization SubpartNo
Authorized OfficialKristine N. CornOwner · (916) 791-2747
Enumeration DateAugust 26, 2014
Last NPPES UpdateNovember 13, 2014
✔ NPI 1639579758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in CA · PT684
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedOccupational Therapist · Feeding, Eating & SwallowingTaxonomy 225XF0002X · License OT7936 (CA)
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X · License OT7936 (CA)
720 SUNRISE AVE, Roseville, CA 95661
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

DR. PATRICK BRYAN SANDLIN D.D.S.
Dentist (General Practice)
720 SUNRISE AVE, SUITE 120A
ROSEVILLE, CA 95661
Placer County (916) 783-0471
DR. BEATRIZ REGINA GALOFRE DDS
Dentist (General Practice)
720 SUNRISE AVE, #120A
ROSEVILLE, CA 95661
Placer County (916) 783-0471
GRACIE GARIBALDI
Marriage & Family Therapist
720 SUNRISE AVE, ST D212
ROSEVILLE, CA 95661
Placer County (530) 264-8804
KRYSTA DANCY MA, MFT
Marriage & Family Therapist
720 SUNRISE AVE, SUITE D115
ROSEVILLE, CA 95661
Placer County (916) 270-7413
BONNIE KIM
Counselor (Mental Health)
720 SUNRISE AVE
ROSEVILLE, CA 95661
Placer County (530) 264-8804
KATE M VAN PARYS MFT
Marriage & Family Therapist
720 SUNRISE AVE, SUITE D214
ROSEVILLE, CA 95661
Placer County (916) 804-8576
REBECCA JOHNSON M.S.
Counselor (Mental Health)
720 SUNRISE AVE, SUITE D212
ROSEVILLE, CA 95661
Placer County (916) 794-1334
JACOB JOHNSON
Counselor (Mental Health)
720 SUNRISE AVE
ROSEVILLE, CA 95661
Placer County (424) 251-1961

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sierra Pediatric Therapy Clinic's NPI number?

The NPI number for Sierra Pediatric Therapy Clinic is 1639579758. It was assigned to this organization in the NPPES registry on August 26, 2014.

Where is Sierra Pediatric Therapy Clinic located?

Sierra Pediatric Therapy Clinic is located at 720 Sunrise Ave Suite D110, Roseville, CA 95661. The listed phone number is (916) 791-2747.

What is Sierra Pediatric Therapy Clinic's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Sierra Pediatric Therapy Clinic was last updated on November 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.