NPIMap

Organization Active NPI

Western Physical Therapy, Inc.

Doing business as Parkside Physical Therapy

  • Physical Therapy Clinic/Center
  • Chico, CA
National Provider Identifier
1194178640
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WESTERN PHYSICAL THERAPY, INC.
Doing business as
Parkside Physical Therapy
Practice address
1031 Village LN
Chico, CA 95926-2812
Phone
(530) 897-0991
Fax
(530) 897-0997
NPI assigned
Jul 20, 2016
Last updated
Apr 26, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKSIDE PHYSICAL THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Donald R Baas, PTNPI 1245268317
Title
Ceo/Physical Therapist, Owner
Phone
(530) 221-9952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1031 Village LN
Chico, CA 95926-2812

Mailing address

PO Box 493396
Redding, CA 96049-3396
Phone (530) 221-9952

Other names 1

  • Parkside Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050103000515 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022076348 Receives reassigned benefits from 63 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yuba City, CA; Willows, CA; Weaverville, CA; Redding, CA; Loomis, CA; Gridley, CA; Corning, CA; Colusa, CA…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Western PT Inc15 organizations share this tax ID, including this one
Part of
Western PT Inc

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

1495 Victor Ave
Ste D
Redding, CA 96003
Phone (530) 221-8090

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1194178640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493396",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960493396",
            "telephone_number": "530-221-9952",
            "fax_number": "530-221-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 VILLAGE LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262812",
            "telephone_number": "530-897-0991",
            "fax_number": "530-897-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PHYSICAL THERAPY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKSIDE PHYSICAL THERAPY",
        "enumeration_date": "2016-07-20",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "BAAS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "530-221-9952",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Parkside Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.