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

Individual provider Physical Therapist · NPI 1568942399

Siddharth Mourya is registered under Physical Therapist in Private Practice in Santa Rosa, California. Qualified in 2017, 9 years ago. Practices with Mdrs Spine and Sport Inc, a 182-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

1801 Cleveland Ave
Santa Rosa, CA 95401-4297
Phone: (707) 526-4180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 297360 (CA)

Record details

NPI number1568942399
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2018
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mdrs Spine And Sport Inc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Mdrs Spine and Sport Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 182 clinicians in the practice; 12 are shown here.

Other providers in Santa Rosa