CAROLINE SUZANNE BARICHIEVICH (MS, PT) – Physical Therapist, NPI 1679638662

CAROLINE SUZANNE BARICHIEVICH (MS, PT) is a healthcare provider. based in South lake tahoe, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MS, PT. They hold a License No. 24547 (CA). The NPI Number for CAROLINE SUZANNE BARICHIEVICH (MS, PT) is 1679638662

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
CAROLINE SUZANNE BARICHIEVICH (MS, PT)
NPI
1679638662
Phone
(530) 543-5896
Address
PO BOX 9578
Enumeration Date
27 December 2006
Last Update Date
2 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
6305295999
Group Practice PAC ID
4284538778
Professional Enrollment ID
I20231207002703
Address ID
CA954031671SA3883XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for CAROLINE SUZANNE BARICHIEVICH (MS, PT)

  • PO BOX 9578

    SOUTH LAKE TAHOE, CA 961589578

    Phone: (530) 543-5896

    Fax: (530) 544-6512

    Type: Mailing

  • South Lake Tahoe, El Dorado County, California, United States

    SOUTH LAKE TAHOE, CA 961507026

    Phone: (530) 543-5896

    Fax: (530) 544-6512

    Type: Location

  • 181 Andrieux St Ste 107

    Sonoma, CA 954766920

    Phone: (844) 527-7369

    Fax: (844) 847-4943

    Type: Location

  • 5150 Hill Rd E Ste B

    Lakeport, CA 954535100

    Phone: (844) 527-7369

    Fax: (844) 847-4943

    Type: Location

  • 1100 Trancas St Ste 250

    Napa, CA 945582909

    Phone: (844) 527-7369

    Fax: (844) 847-4943

    Type: Location

  • 191 Lynch Creek Way Ste 101

    Petaluma, CA 949542389

    Phone: (844) 527-7369

    Fax: (844) 847-4943

    Type: Location

  • 220 CONCOURSE BLVD

    SANTA ROSA, CA 954038210

    Phone: (844) 527-7369

    Fax: (844) 847-4943

    Type: Mailing

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: 2023-12-07

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
I20231207002703IPhysical 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 96158)

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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: 4284538778View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
A L L E R G Y/ I M M U N O L O G YCA
-CA
Hospitalist, Obstetrics/GynecologyCA
O B S T E T R I C S/ G Y N E C O L O G YOR
-CA
-CA
-CA
-CA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

How is CAROLINE SUZANNE BARICHIEVICH (MS, PT) identified in CMS data?
CMS-hosted NPPES data lists CAROLINE SUZANNE BARICHIEVICH (MS, PT) with NPI 1679638662.
Does the file indicate CAROLINE SUZANNE BARICHIEVICH (MS, PT) is practicing under active NPI?
Directory data currently reports CAROLINE SUZANNE BARICHIEVICH (MS, PT) as active.
What is CAROLINE SUZANNE BARICHIEVICH (MS, PT)'s primary classification?
Physical Therapist is the headline specialty for CAROLINE SUZANNE BARICHIEVICH (MS, PT) here. Clinical services aligned with this taxonomy classification.
Where should I expect CAROLINE SUZANNE BARICHIEVICH (MS, PT) on a map?
Expect South Lake Tahoe, California as a primary anchor for CAROLINE SUZANNE BARICHIEVICH (MS, PT) unless the record lists multiple sites.
Why does CAROLINE SUZANNE BARICHIEVICH (MS, PT) have multiple addresses?
8 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.