Active NPI
Andrew Jonathan Hougum, PT
- Physical Therapist
- Redding, CA
National Provider Identifier
1104041219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3050 Victor Ave Ste a
Redding, CA 96002-1456 - Phone
- (530) 221-1312
- Fax
- (530) 221-4291
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3050 Victor Ave Ste a
Redding, CA 96002-1456
Mailing address
3050 Victor Ave Ste a
Redding, CA 96002-1456
Phone (530) 221-1312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3050 Victor Ave
Suite a
Redding, CA 96002-1456
Phone (530) 221-1312
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shasta Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
3050 Victor Ave
Ste A
Redding, CA 96002
Phone (530) 221-1312
3075 Victor Ave
Redding, CA 96002
Phone (530) 221-1312
Organizations & group practices 1
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.
-
- Physical Therapist
- Redding, CA
- NPI 1346392537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1104041219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 VICTOR AVE STE A",
"city": "REDDING",
"state": "CA",
"postal_code": "960021456",
"telephone_number": "530-221-1312",
"fax_number": "530-221-4291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 VICTOR AVE STE A",
"city": "REDDING",
"state": "CA",
"postal_code": "960021456",
"telephone_number": "530-221-1312",
"fax_number": "530-221-4291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUGUM",
"first_name": "ANDREW",
"middle_name": "JONATHAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
- Hospital & Sleep Medicine Consultants PC
- Hospitalist Services Medical Group, Inc.
- Hospitalists of Northern California, Inc
- Ashley Renee Nelson Houchin, CMT, CLT, MMT
- Cheyenne Renae Houghtby, ANMT
- Housing Division Economic Mobility
- Julie Howard
- Destiny Lee Howell, SUDRC
- Gary Dean Howland, DDS
- Hsiao-Ping Hu MD Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.