Brianna Rose Ligotski, PT, DPT
Physical Therapist in Stockton, CA. Individual provider (NPI-1).
NPI number1669953030
StatusActive
Last updated in NPPESJan 3, 2022
Details
- NPI
- 1669953030
- Entity type
- Individual (NPI-1)
- Name
- Brianna Rose Ligotski
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2018
- Last updated
- Jan 3, 2022
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 | 295225 | CA | Yes |
Practice location
7373 West LnStockton, CA 95210-3377
Phone 570-991-1761
Mailing address
1142 N Sutter St Apt 13Stockton, CA 95202-1566
Phone 570-991-1761
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 194 Physical Therapist providers in Stockton · All 11,041 providers in Stockton
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