JENNIFER SUNAHARA (PT) – Physical Therapist, NPI 1003617705

JENNIFER SUNAHARA (PT) is a healthcare provider. based in Roseville, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. The NPI Number for JENNIFER SUNAHARA (PT) is 1003617705

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER SUNAHARA (PT)
NPI
1003617705
Phone
(916) 390-3150
Address
104 HOBBLE CT
Enumeration Date
20 March 2025
Last Update Date
1 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5105262353
Graduation Year
2024 (2 years ago)
PAC ID
9335666205
Group Practice PAC ID
7618956889
Professional Enrollment ID
I20250505003301
Address ID
CA947062010AL948XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for JENNIFER SUNAHARA (PT)

  • 104 HOBBLE CT

    ROSEVILLE, CA 956613706

    Phone: (916) 390-3150

    Type: Mailing

  • 2217 SUNSET BLVD STE 711

    ROCKLIN, CA 957654783

    Phone: (916) 435-3500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250505003301IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95661)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618956889View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
-CA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What is the registry number for JENNIFER SUNAHARA (PT)?
The registry entry for JENNIFER SUNAHARA (PT) shows NPI 1003617705.
Does the public listing show JENNIFER SUNAHARA (PT) as active?
JENNIFER SUNAHARA (PT)'s NPI record reflects an active status in NPPES.
What does the directory say JENNIFER SUNAHARA (PT) does?
Insurance directories may phrase it differently, but here JENNIFER SUNAHARA (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to JENNIFER SUNAHARA (PT)?
JENNIFER SUNAHARA (PT) shows a connection to Roseville, California in registry-derived data.
Can I export JENNIFER SUNAHARA (PT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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