SOPHIA TREZZA (DPT) – Physical Therapist, NPI 1215767488

SOPHIA TREZZA (DPT) is a healthcare provider. based in Santa rosa, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 306383 (CA). The NPI Number for SOPHIA TREZZA (DPT) is 1215767488

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
SOPHIA TREZZA (DPT)
NPI
1215767488
Phone
Not provided
Address
1919 LYON CT
Enumeration Date
3 August 2024
Last Update Date
3 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7075425400
Graduation Year
2024 (2 years ago)
PAC ID
5395285944
Group Practice PAC ID
6002819075
Professional Enrollment ID
I20240910001158
Address ID
CA954037756SA140XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for SOPHIA TREZZA (DPT)

  • 1919 LYON CT

    SANTA ROSA, CA 954030974

    Phone:

    Type: Mailing

  • 140 WIKIUP DR

    SANTA ROSA, CA 954037756

    Phone: (707) 542-5400

    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: 2024-09-10

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
I20240910001158IPhysical 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 95403)

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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: 6002819075View full group profile
NameSpecialtyState
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
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA

Reviews

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Frequently asked questions

What is the 10-digit NPI for SOPHIA TREZZA (DPT)?
SOPHIA TREZZA (DPT) — NPI 1215767488 — is the standard way to identify this listing.
Is SOPHIA TREZZA (DPT) still practicing?
SOPHIA TREZZA (DPT) is currently listed as active in the public NPI registry.
What is SOPHIA TREZZA (DPT)'s primary classification?
Physical Therapist is the headline specialty for SOPHIA TREZZA (DPT) here. Clinical services aligned with this taxonomy classification.
What address line appears for SOPHIA TREZZA (DPT)?
SOPHIA TREZZA (DPT)'s geographic hint is Santa Rosa, California in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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