STAC PHYSICAL THERAPY SONOMA, INC.
NPI 1720707136
Physical Therapist in Santa Rosa, CA

Active since August 26, 2022
1400 N DUTTON AVE STE 1, SANTA ROSA, CA 95401(707) 523-2848(707) 523-2866 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stac Physical Therapy Sonoma, Inc. NPPES

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

STAC PHYSICAL THERAPY SONOMA, INC. (NPI 1720707136), doing business as North Santa Rosa Physical Therapy, is a healthcare organization registered as a physical therapist in Santa Rosa, California and active in the NPI registry since August 2022. The organization lists Andra Colman, Owner, as its authorized official.

NPPES Registry Identity

NPI1720707136
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameSTAC PHYSICAL THERAPY SONOMA, INC.
Location Address1400 N DUTTON AVE STE 1Santa Rosa, CA 95401-7120
Mailing Address1400 N Dutton Ave Ste 1Santa Rosa, CA 95401-7120 · (707) 523-2848 · Fax (707) 523-2866
Fax(707) 523-2866
Organization SubpartNo
Authorized OfficialAndra ColmanOwner · (714) 904-2703
Enumeration DateAugust 26, 2022
NPPES CertifiedAugust 26, 2022
✔ NPI 1720707136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1400 N DUTTON AVE STE 1, Santa Rosa, CA 95401

Other Names 1

Doing Business AsNorth Santa Rosa Physical Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Sonoma, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Stac Physical Therapy Sonoma, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Physical Therapist in Private Practice
NPI 1912138686
1400 N DUTTON AVE STE 1
Santa Rosa, CA 95401
(707) 523-2848
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1780767541
1400 N DUTTON AVE SUITE 1
Santa Rosa, CA 95401
(707) 523-2848
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1114903192
795 FARMERS LN SUITE 10
Santa Rosa, CA 95405
(707) 571-7615
✔ Accepts Medicare2.7 mi
Physical Therapist in Private Practice
NPI 1356686356
630 MONTCLAIR DR
Santa Rosa, CA 95409
(707) 328-3409
4.8 mi
Physical Therapist in Private Practice
NPI 1396588604
315 PINE BREEZE DR
Angwin, CA 94508
(317) 522-8871
✔ Accepts Medicare17 mi
Physical Therapist in Private Practice
NPI 1265384895
2207 ALLISON AVE
Speedway, IN 46224
(317) 437-9580
1,949 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 Sonoma, Inc.'s NPI number?

The NPI number for Stac Physical Therapy Sonoma, Inc. is 1720707136. It was assigned to this organization in the NPPES registry on August 26, 2022. The provider is doing business as North Santa Rosa Physical Therapy.

Where is Stac Physical Therapy Sonoma, Inc. located?

Stac Physical Therapy Sonoma, Inc. is located at 1400 N Dutton Ave Ste 1, Santa Rosa, CA 95401. The listed phone number is (707) 523-2848.

What is Stac Physical Therapy Sonoma, Inc.'s specialty?

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

Is Stac Physical Therapy Sonoma, Inc. enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Stac Physical Therapy Sonoma, 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, 1 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 Sonoma, Inc. was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.