Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sierra Pediatric Therapy Clinic

Organization Pediatric Physical Therapist · NPI 1639579758

Sierra Pediatric Therapy Clinic provides Pediatric Physical Therapist services in Roseville, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
3

Practice location Address checks out

720 Sunrise Ave Ste D110
Roseville, CA 95661-4516 Not confirmed with CMS for 11 years — call before visiting
Phone: (916) 791-2747
Fax: (916) 791-2189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT684 (CA)
Feeding, Eating & Swallowing Occupational Therapist Taxonomy 225XF0002X · Licence OT7936 (CA)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence OT7936 (CA)

Record details

NPI number1639579758
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristine Corn — Owner · (916) 791-2747
NPI enumeratedAugust 26, 2014
Last updated in NPPESNovember 13, 2014
Mailing address720 Sunrise Ave, Suite D110, Roseville, CA 95661-4516

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