John Kudreyko III, PT,DPT,CSCS
NPI 1730691627ActiveIndividual· Physical Therapist, Orthopedic· Roseville, CA
Physical Therapist, Orthopedic (PT,DPT,CSCS) with Sutter Valley Medical Foundation and 1 other group, practicing in Roseville, California. Medicare paid $37,240 for services to 85 patients in 2024.
Overview
| NPI | 1730691627 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT,DPT,CSCS |
| Sole proprietor | No |
| NPI issued | Oct 31, 2017 |
| Last updated in NPPES | Mar 27, 2026 |
| Certified by provider | Mar 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | PT294289 | CA |
| Physical Therapist, Orthopedic | 2251X0800X | 3614 | NV |
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 Practitioner - Physical Therapist in Private Practice (CA); Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 85 |
|---|---|
| Services billed | 1,836 across 12 procedure codes |
| Paid by Medicare | $37,240 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
| Telehealth | Offers telehealth |
Medical groups
- Sutter Valley Medical FoundationModesto, CA · 2,500 clinicians
- Advanced Performance Physical Therapy and Rehabilitation IncLompoc, CA · 5 clinicians
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