STAC PHYSICAL THERAPY LAGUNA, INC
NPI 1639713340
Physical Therapist in Elk Grove, CA

Active since November 06, 2019
9563 LAGUNA SPRINGS DR, ELK GROVE, CA 95758(916) 691-9822(916) 691-9448 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 28, 2025, Nov 6, 2019 (2 updates tracked since 2019).

About Stac Physical Therapy Laguna, Inc NPPES

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

STAC PHYSICAL THERAPY LAGUNA, INC (NPI 1639713340), doing business as Laguna Physical Therapy And Hand Rehabilitation, is a healthcare organization registered as a physical therapist in Elk Grove, California and active in the NPI registry since November 2019. The organization lists Or Nativ, Director/president, as its authorized official.

NPPES Registry Identity

NPI1639713340
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameSTAC PHYSICAL THERAPY LAGUNA, INC
Location Address9563 LAGUNA SPRINGS DRElk Grove, CA 95758-8204
Mailing Address4432 Fir AveSeal Beach, CA 90740-2906 · (714) 904-2703
Fax(916) 691-9448
Organization SubpartNo
Authorized OfficialOr NativDirector/president · (650) 796-4048
Enumeration DateNovember 6, 2019
Last NPPES UpdateMarch 28, 20252 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
✔ NPI 1639713340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X
Also ListedPhysical Therapist · HandTaxonomy 2251H1200X
Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X
9563 LAGUNA SPRINGS DR, Elk Grove, CA 95758

Other Names 1

Doing Business AsLaguna Physical Therapy And Hand Rehabilitation

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stac Physical Therapy Laguna, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Stac Physical Therapy Laguna, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Physical Therapist in Private Practice
NPI 1184401960
9563 LAGUNA SPRINGS DR STE 200
Elk Grove, CA 95758
(916) 691-9822
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1972262558
9563 LAGUNA SPRINGS DR STE 200
Elk Grove, CA 95758
(916) 691-9822
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1396698775
9563 LAGUNA SPRINGS DR STE 200
Elk Grove, CA 95758
(916) 691-9822
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1699911818
9281 OFFICE PARK CIR SUITE 110
Elk Grove, CA 95758
(916) 391-9822
✔ Accepts Medicare0.5 mi
Physical Therapist in Private Practice
NPI 1215476049
2901 K ST SUITE 170
Sacramento, CA 95816
(916) 220-5559
✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stac Physical Therapy Laguna, Inc's NPI number?

The NPI number for Stac Physical Therapy Laguna, Inc is 1639713340. It was assigned to this organization in the NPPES registry on November 6, 2019. The provider is doing business as Laguna Physical Therapy and Hand Rehabilitation.

Where is Stac Physical Therapy Laguna, Inc located?

Stac Physical Therapy Laguna, Inc is located at 9563 Laguna Springs Dr, Elk Grove, CA 95758. The listed phone number is (916) 691-9822.

What is Stac Physical Therapy Laguna, Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Stac Physical Therapy Laguna, Inc enrolled in Medicare?

Yes. Stac Physical Therapy Laguna, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stac Physical Therapy Laguna, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Stac Physical Therapy Laguna, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stac Physical Therapy Laguna, Inc was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.