Corinna Van Ness, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27542 Issued in CA

Practice address

1906 Vista del Lago Dr Ste a
Valley Springs, CA 95252-9700

Phone

(209) 584-1007

NPI assigned

Sep 3, 2006

Last updated

Nov 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden Bear Physical Therapy Sports Injury Center IncGroup PAC ID 2961423082, 85 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

67.73 of 100Reported as group

Quality

41.21

Improvement activities

40

Cost

83.55

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Golden Bear Physical Therapy Sports Injury Center, Inc

  • Physical Therapy Clinic/Center
  • Modesto, CA
  • NPI 1811084676

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1073615613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 VILLAGE DR",
            "city": "IONE",
            "state": "CA",
            "postal_code": "956409603",
            "telephone_number": "209-274-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 VISTA DEL LAGO DR STE A",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952529700",
            "telephone_number": "209-584-1007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Lincoln Ctr",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952072644",
            "country_code": "US",
            "telephone_number": "209-478-3900",
            "fax_number": "209-478-3979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN NESS",
        "first_name": "CORINNA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul L Symmonds, LCSW
• Martha F. Tapia, DO
• Constance Marie Vaccarezza, PHN
• Valley Springs Physical Therapy
• Valor Care Medical Transportation
• Marnene Jean Waid, CMT
• Jill D Walter, ACSW
• Courtney Nichole Ward, RBT
• Stephanie Yang, DDS
• Melanie Ann Yurkovich, F.N.P.

• Physical Therapist in Valley Springs, CA
• Providers in Valley Springs, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.