Stac Physical Therapy Sonoma, Inc.
NPI 1720707136ActiveOrganization· Physical Therapist· Santa Rosa, CA
Physical Therapist in Santa Rosa, California, registered in NPPES in August 2022. The authorized official on file is Andra Colman, PT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720707136 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2022 |
| Last updated in NPPES | Aug 26, 2022 |
| Certified by provider | Aug 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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