Stac Physical Therapy Sonoma, Inc.
NPI 1720707136 · Physical Therapist · Santa Rosa, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stac Physical Therapy Sonoma, Inc. is a Physical Therapist organization in Santa Rosa, CA (NPI 1720707136).
Provider details
- NPI number
- 1720707136
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Andra Colman, Owner(714) 904-2703
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- North Santa Rosa Physical Therapy
Registry dates
- Enumerated
- 2022-08-26
- Last updated
- 2022-08-26
- Certified
- 2022-08-26
Frequently asked questions
- What is Stac Physical Therapy Sonoma, Inc.'s NPI number?
- Stac Physical Therapy Sonoma, Inc.'s National Provider Identifier (NPI) is 1720707136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stac Physical Therapy Sonoma, Inc.?
- Stac Physical Therapy Sonoma, Inc. is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Stac Physical Therapy Sonoma, Inc. located?
- Stac Physical Therapy Sonoma, Inc.'s practice location on file with NPPES is 1400 N Dutton Ave Ste 1, Santa Rosa, CA 95401-7120.
- What is Stac Physical Therapy Sonoma, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Stac Physical Therapy Sonoma, Inc. is (707) 523-2848.
- Does Stac Physical Therapy Sonoma, Inc. accept Medicare?
- Stac Physical Therapy Sonoma, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Stac Physical Therapy Sonoma, Inc.?
- The authorized official listed on Stac Physical Therapy Sonoma, Inc.'s NPPES record is Andra Colman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stac Physical Therapy Sonoma, Inc.'s NPI active?
- Yes — Stac Physical Therapy Sonoma, Inc.'s NPI (1720707136) is active in the NPPES registry as of the last update on 2022-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.