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DR. JOHN KUDREYKO III PT,DPT,CSCS
NPI 1730691627
Physical Therapist - Orthopedic in Roseville, CA

Active since October 31, 2017Accepts Medicare Assignment
568 N SUNRISE AVE STE 250, ROSEVILLE, CA 95661(916) 865-1100(916) 865-1105 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2026, Mar 17, 2026, Dec 4, 2024 and 1 more (4 updates tracked since 2017).

About Dr. John Kudreyko Iii Pt,dpt,cscs NPPES

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

DR. JOHN KUDREYKO III PT,DPT,CSCS (NPI 1730691627) is an individual orthopedic provider in Roseville, California, licensed in California (PT294289) and active in the NPI registry since October 2017. He maintains a secondary practice location in Lompoc and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730691627
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDR. JOHN KUDREYKO IIICredential: PT,DPT,CSCS
Location Address568 N SUNRISE AVE STE 250Roseville, CA 95661-3097
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Phone(916) 865-1100
Fax(916) 865-1105
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 31, 2017
Last NPPES UpdateMarch 27, 20264 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1730691627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Licenses✔ Licensed in CA · PT294289✔ Licensed in NV · 3614
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
568 N SUNRISE AVE STE 250, Roseville, CA 95661
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Secondary Practice Location 1

Location 11201 E Ocean AveLompoc, CA 93436-7081 · Phone (805) 735-8365

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Kudreyko Iii Pt,dpt,cscs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608122841
PECOS Enrollment IDI20180702001695

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
847 services84 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
301 services67 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
293 services58 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
170 services34 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
75 services39 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
49 services48 patients

Other Providers at the Same Location NPPES 4

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

NOMAN GHIASI MD
Family Medicine
568 N SUNRISE AVE STE 250
ROSEVILLE, CA 95661
Placer County (916) 865-1140
MRS. LISA M MIRANDA P.A.-C
Physician Assistant
568 N SUNRISE AVE STE 250
ROSEVILLE, CA 95661
Placer County (916) 865-1140
JENNIFER GREGG MD
Family Medicine
568 N SUNRISE AVE STE 250
ROSEVILLE, CA 95661
Placer County (916) 865-1140
MADHUPREET HANS DO
Family Medicine
568 N SUNRISE AVE STE 250
ROSEVILLE, CA 95661
Placer County (916) 865-1140

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 John Kudreyko's NPI number?

The NPI number for John Kudreyko is 1730691627. It was assigned to this individual provider in the NPPES registry on October 31, 2017.

Where is John Kudreyko located?

John Kudreyko practices at 568 N Sunrise Ave Ste 250, Roseville, CA 95661. The listed phone number is (916) 865-1100.

What is John Kudreyko's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is John Kudreyko enrolled in Medicare?

Yes. John Kudreyko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for John Kudreyko was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.