Stephen Davids

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5061 Shasta Dam Blvd
Shasta Lake, CA 96019-9405

Phone

(530) 275-0777

NPI assigned

Jul 23, 2020

Sex

Male

Sole proprietor

Yes

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Physical Therapy IncGroup PAC ID 8022076348, 36 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

68.56 of 100Reported as group

Quality

33.33

Improvement activities

40

Cost

70.01

Merit-based Incentive Payment System (MIPS)

Final score

76.21 of 100Reported as group

Quality

38.71

Promoting interoperability

100

Improvement activities

40

Cost

68.39

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Western Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Colusa, CA
  • NPI 1740216332

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Shasta Lake Physical Therapy

  • Physical Therapist
  • Shasta Lake, CA
  • NPI 1255376893

  Single Specialty

  Medicare reassignment NPD
• Western Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Weaverville, CA
  • NPI 1881135457
  NPD
• Western Physical Therapy, Inc.

  • Physical Therapist
  • Chico, CA
  • NPI 1598632697

  Single Specialty

  NPD

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1144839366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MISSION SIERRA CT APT 27",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5061 SHASTA DAM BLVD",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960199405",
            "telephone_number": "530-275-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDS",
        "first_name": "STEPHEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Chandler Jr.
• Natalie Codianne, PHARMD
• Terri Anne Corpuz, PHARM D
• Lisa Marie Corral
• Francine Suzanne Cullivan
• Peggy Jane Deforest, P.A.
• Denise Dilts-Waldrop
• Lisa Marie Dinubilo, PHARM. D
• James G Earle, M.P.T., C.S.C.S.
• Samantha Enzler

• Physical Therapist in Shasta Lake, CA
• Providers in Shasta Lake, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.