MEDICARE: ACCIDENT AND SPORTS INJURY CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist
2	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1932044732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCIDENT AND SPORTS INJURY CLINIC

Provider Business Mailing Address
First Line	:	201 HARDING BLVD STE J
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-2814
Country	:	US
Telephone Number	:	916-784-2727
Fax Number	:	916-784-3821

Provider Business Practice Location Address
First Line	:	201 HARDING BLVD STE J
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-2814
Country	:	US
Telephone Number	:	916-784-2727
Fax Number	:	916-784-3821

Authorized Official
Title or Position	:	PARTNER
Name	:	ZACHARY THOMAS OWENS
Credential	:	DC
Telephone Number	:	916-784-2727

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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