Active NPI
Donald Roy Baas, P.T.
- Physical Therapist
- Shasta Lake, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17148
- Practice address
- 5061 Shasta Dam Blvd
Shasta Lake, CA 96019-9422 - Phone
- (530) 275-0777
- Fax
- (530) 275-8779
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT17148 | CA | Primary |
| Physical Therapist | 225100000X | PT00006688 | WA |
Addresses
Primary practice location
5061 Shasta Dam Blvd
Shasta Lake, CA 96019-9422
Mailing address
PO Box 493396
Redding, CA 96049-3396
Phone (530) 221-9952
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7115371 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5061 Shasta Dam Blvd
Shasta Lake, CA 96019-9405
Phone (530) 275-0777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT17148 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Shasta Lake Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Gridley Physical Therapy & Sports Medicine | Current | Accepting new patients | |
| Western Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Baas & Wood Physical Therapy Services, Inc | Physical Therapist | Current | Accepting new patients |
| Fishers Landing Urgent & Family Care | Past | Accepting new patients | |
| Northern Asset Management Inc | Physical Therapist | Past | Accepting new patients |
| Fishers Landing Urgent and Family Care | Past | Accepting new patients | |
| Fishers Landing Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Farwest Rehabilitation, Inc | Past | Accepting new patients | |
| Western Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
555 Flying V St
Ste 5
Chico, CA 95928
Phone (530) 487-8102
844 Bridge St
Ste C
Colusa, CA 95932
Phone (530) 458-7770
1516 State Highway 99
Ste G
Gridley, CA 95948
Phone (530) 846-8018
10255 Live Oak Blvd
Live Oak, CA 95953
Phone (530) 695-3700
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
116 S Lassen St
Willows, CA 95988
Phone (530) 934-2870
Organizations & group practices 11
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.
-
- Physical Therapist
- Shasta Lake, CA
- NPI 1255376893
-
- Physical Therapist
- Palo Cedro, CA
- NPI 1477627594
-
- Physical Therapy Clinic/Center
- Colusa, CA
- NPI 1740216332
Physical Therapist
-
- Physical Therapist
- Vancouver, WA
- NPI 1962438424
-
- Physical Therapy Clinic/Center
- Gridley, CA
- NPI 1043520216
-
- Physical Therapist
- Chico, CA
- NPI 1598632697
-
- Specialist
- Redding, CA
- NPI 1861406100
-
- Physical Therapist
- Anderson, CA
- NPI 1679599161
-
- Physical Therapist
- Yuba City, CA
- NPI 1699186247
-
- Specialist
- Vancouver, WA
- NPI 1134158348
-
- Urgent Care Clinic/Center
- Washougal, WA
- NPI 1316161136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235692800000",
"number": "1245268317",
"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": "530-221-9954"
},
{
"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": "960199422",
"telephone_number": "530-275-0777",
"fax_number": "530-275-8779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAAS",
"first_name": "DONALD",
"middle_name": "ROY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2009-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT17148",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00006688",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7115371",
"state": "WA"
}
],
"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 Feb 27, 2009; 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.