John Kudreyko, PT,DPT,CSCS
John Kudreyko, PT,DPT,CSCS is an Orthopedic Physical Therapist in Roseville, CA, registered under NPI 1730691627.
Getting there
The practice address on file is 568 N SUNRISE AVE STE 250, Roseville, CA 95661. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PT294289 | CA | Orthopedic Physical Therapist primary |
| 3614 | NV | Orthopedic Physical Therapist |
Licences are recorded in 2 states: CA, NV. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Physical Therapist In Private Practice
- PAC ID
- 6608122841
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| California | I20180702001695 | Practitioner - Physical Therapist In Private Practice |
| Washington | I20220627000903 | Practitioner - Physical Therapist In Private Practice |
Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Therapist In Private Practice. There are 2 separate enrolment records across 2 states (CA, WA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: California and Nevada. The practice address on file is in Roseville, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- PT294289
- Specialty
- Orthopedic Physical Therapist
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Orthopedic covers
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. NUCC Health Care Provider Taxonomy, code 2251X0800X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2251X0800X | Orthopedic Physical Therapist Orthopedic | PT294289 | CA | primary |
| 2251X0800X | Orthopedic Physical Therapist Orthopedic | 3614 | NV |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1730691627 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Oct 31, 2017 |
| Last updated | Mar 27, 2026 |
| Status | Active |
| Sole proprietor | No |
| Credential | PT,DPT,CSCS |
| Practice address |
568 N SUNRISE AVE STE 250 Roseville, CA 95661 (916) 865-1100 Fax (916) 865-1105 |
| Mailing address |
PO BOX 255228 Sacramento, CA 95865 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 3 | 0 | 6 | 9 | 1 | 6 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 6 | 0 | 3 | 9 | 2 | 6 | 4 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.