Scott Valley Physical Therapy and Fitness Center, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SCOTT VALLEY PHYSICAL THERAPY AND FITNESS CENTER, PC

Practice address

122 Scott River Rd
Fort Jones, CA 96032-9620

Phone

(530) 468-5528

NPI assigned

May 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas Scott Korcek, P. T.

Title

Ceo

Phone

(530) 468-5528

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Hess, MD

  • Family Medicine Physician
  • Fort Jones, CA
  • NPI 1154356822
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1003021601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "FORT JONES",
            "state": "CA",
            "postal_code": "960320217",
            "telephone_number": "530-468-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SCOTT RIVER RD",
            "city": "FORT JONES",
            "state": "CA",
            "postal_code": "960329620",
            "telephone_number": "530-468-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT VALLEY PHYSICAL THERAPY AND FITNESS CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "KORCEK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-468-5528",
        "authorized_official_credential": "P. T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ50708Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Grant Medinnus, DDS
• Kunjal R Patel
• Quartz Valley Indian Reservation
• Jacob S Rodgers
• Cynthia Victoria Samuel, RADT
• Scott Valley Unified School District
• Brent Alan Webb, DDS
• Karyn Elizabeth Williams-Stanshaw, LVN
• David P Wilson, MD
• Norma K. Young, FNP-C

• Physical Therapy Clinic/Center in Fort Jones, CA
• Providers in Fort Jones, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.