Healthcare Provider Details

I. General information

NPI: 1760326276
Provider Name (Legal Business Name): KU PHYSIOTHERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 MARCONI AVE
SACRAMENTO CA
95821-5301
US

IV. Provider business mailing address

PO BOX 15762
SACRAMENTO CA
95852-0762
US

V. Phone/Fax

Practice location:
  • Phone: 916-365-2611
  • Fax: 279-236-5792
Mailing address:
  • Phone: 279-273-3656
  • Fax: 279-236-5792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: URIEL RAMIREZ
Title or Position: PRESIDENT
Credential:
Phone: 279-273-3656