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 is a Pediatric Physical Therapist 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
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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