Individual provider Active NPI

James G Earle, M.P.T., C.S.C.S.

  • Physical Therapist
  • Shasta Lake, CA
National Provider Identifier
1235210501
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23572 Issued in CA
Practice address
5061 Shasta Dam Blvd
Shasta Lake, CA 96019-9405
Phone
(530) 275-0777
Fax
(530) 275-8779
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT23572 CA Primary

Addresses

Primary practice location

5061 Shasta Dam Blvd
Shasta Lake, CA 96019-9405

Mailing address

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

Other practice location 1

951 Butte St
Redding, CA 96001-0828
Phone (530) 241-9142

Other practice location 2

951 Butte St
Redding, CA 96001-0828
Phone (530) 241-9142

Other identifiers 1

IdentifierTypeStateIssuer
PT0184300MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000910 CA Practitioner - Physical Therapist in Private Practice 9638076391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baas and Wood Physical Therapy Services IncGroup PAC ID 7810302999, 9 clinicians
Shasta Lake Physical TherapyGroup PAC ID 1557304896, 6 clinicians

Practice addresses (Care Compare)

22038 Old 44 Dr
Palo Cedro, CA 96073-8707
Phone (530) 547-3220

5061 Shasta Dam Blvd
Shasta Lake, CA 96019-9405
Phone (530) 275-0777

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
59.67 of 100Reported as group
Quality
26.11
Improvement activities
40
Cost
61.91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Physical Therapy Inc CurrentSince Dec 4, 2018 Accepting new patients
Western Physical Therapy, Inc. Physical Therapist CurrentSince Dec 4, 2018 Accepting new patients
Shasta Lake Physical Therapy Physical Therapist CurrentSince Oct 2, 2017 Accepting new patients
Baas & Wood Physical Therapy Services, Inc Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Western Physical Therapy, Inc. Physical Therapist Current Accepting new patients
NVPT, Inc. Physical Therapist PastSince May 5, 2005 Accepting new patients
Maxim Rehab Inc. Physical Therapist PastSince Dec 1, 2003 Accepting new patients

Locations

844 Bridge St
Ste C
Colusa, CA 95932
Phone (530) 458-7770

22038 Old 44 Dr
Palo Cedro, CA 96073
Phone (530) 221-9952

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

5061 Shasta Dam Blvd
Shasta Lake, CA 96019
Phone (530) 275-0777

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1235210501",
    "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": "5061 SHASTA DAM BLVD",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960199405",
            "telephone_number": "530-275-0777",
            "fax_number": "530-275-8779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 Butte St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010828",
            "country_code": "US",
            "telephone_number": "530-241-9142",
            "fax_number": "530-241-9201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "951 Butte St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010828",
            "country_code": "US",
            "telephone_number": "530-241-9142",
            "fax_number": "530-241-9201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARLE",
        "first_name": "JAMES",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "M.P.T., C.S.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT23572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0184300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shasta Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.