Kimberly A Groleau, PT
Physical Therapist in Roseville, CA. Individual provider (NPI-1).
NPI number1316129166
StatusActive
Last updated in NPPESFeb 3, 2020
Details
- NPI
- 1316129166
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kimberly A Groleau
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2007
- Certification date
- Feb 3, 2020
- Last updated
- Feb 3, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT15755 | CA | Yes |
Practice location
568 N Sunrise Ave., Ste. 100Roseville, CA 95661-3097
Phone 916-865-1100 · Fax 916-865-1105
Mailing address
Po Box 255228Sacramento, CA 95865-5228
Phone 916-887-7398 · Fax 847-956-5420
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 165 Physical Therapist providers in Roseville · All 6,478 providers in Roseville
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