Individual provider Active NPI

Tomi M Connors Corbett, PT

  • Physical Therapist
  • Grass Valley, CA
National Provider Identifier
1023118965
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17176 Issued in CA
Practice address
300 Sierra College Dr Ste 165
Grass Valley, CA 95945-5083
Phone
(530) 274-2320
Fax
(530) 274-1568
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT17176 CA Primary

Addresses

Primary practice location

300 Sierra College Dr Ste 165
Grass Valley, CA 95945-5083

Mailing address

13220 Rosemary PL
Grass Valley, CA 95945-9726
Phone (530) 274-2320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT17176CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Physical Therapy, Inc. Physical Therapist CurrentSince May 1, 2012 Accepting new patients
Spring Hill Physical Therapy and Acupuncture Physical Therapist Past Accepting new patients
Spring Hill Physical Therapy PC Physical Therapist PastSince Apr 2, 2012 Accepting new patients

Locations

202 Providence Mine Rd
Ste 206
Nevada City, CA 95959
Phone (530) 265-8100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023118965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13220 ROSEMARY PL",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459726",
            "telephone_number": "530-274-2320",
            "fax_number": "530-274-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SIERRA COLLEGE DR STE 165",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455083",
            "telephone_number": "530-274-2320",
            "fax_number": "530-274-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS CORBETT",
        "first_name": "TOMI",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.