Organization Active NPI

Cascade Physical Therapy

  • Physical Therapist
  • Redding, CA
National Provider Identifier
1194940189
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26399 Issued in CA
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

Updated by the provider on Aug 25, 2008

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.NPI 1487602942
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 26399 CA Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PT0263990MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.