Active NPI
Cascade Physical Therapy
- Physical Therapist
- Redding, CA
National Provider Identifier
1194940189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26399
- Legal business name
- CASCADE PHYSICAL THERAPY
- Practice address
- 1007 Dana Dr Ste E
Redding, CA 96003-4036 - Phone
- (530) 222-5188
- Fax
- (530) 222-5167
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erick Kimball Goss, D.P.T.
- Title
- Physical Therapist
- Phone
- (530) 222-5188
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26399 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
1007 Dana Dr Ste E
Redding, CA 96003-4036
Mailing address
1007 Dana Dr Ste E
Redding, CA 96003-4036
Phone (530) 222-5188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT0263990 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1007 Dana Dr
Ste E
Redding, CA 96003
Phone (530) 222-5188
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Redding, CA
- NPI 1487602942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219622400000",
"number": "1194940189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 DANA DR STE E",
"city": "REDDING",
"state": "CA",
"postal_code": "960034036",
"telephone_number": "530-222-5188",
"fax_number": "530-222-5167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 DANA DR STE E",
"city": "REDDING",
"state": "CA",
"postal_code": "960034036",
"telephone_number": "530-222-5188",
"fax_number": "530-222-5167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASCADE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2008-08-25",
"status": "A",
"authorized_official_last_name": "GOSS",
"authorized_official_first_name": "ERICK",
"authorized_official_middle_name": "KIMBALL",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "530-222-5188",
"authorized_official_credential": "D.P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "26399",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT0263990",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.