STAC PHYSICAL THERAPY SONOMA, INC.
NPI 1720707136
Physical Therapist in Santa Rosa, CA
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
Specialties & Licenses
- 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.
Other Names 1
Group Practice 1
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
6Medicare 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)
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.