Individual provider Active NPI

Donald Roy Baas, P.T.

  • Physical Therapist
  • Shasta Lake, CA
National Provider Identifier
1245268317
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17148 Issued in CA
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

Updated by the provider on Feb 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7115371MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050104000947 CA Practitioner - Physical Therapist in Private Practice 1153223607 Reassigns benefits to 3 organizations

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
Shasta Lake Physical TherapyGroup PAC ID 1557304896, 6 clinicians

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

LicenseStateTypeSpecialty
PT17148CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Physical Therapy, Inc. Physical Therapist CurrentSince Dec 1, 2004 Accepting new patients
Shasta Lake Physical Therapy Physical Therapist CurrentSince Jan 11, 2000 Accepting new patients
Gridley Physical Therapy & Sports Medicine CurrentSince Dec 1, 2004 Accepting new patients
Western Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Baas & Wood Physical Therapy Services, Inc Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Fishers Landing Urgent & Family Care Past Accepting new patients
Northern Asset Management Inc Physical Therapist PastSince Jan 18, 2008 Accepting new patients
Fishers Landing Urgent and Family Care Past Accepting new patients
Fishers Landing Physical Therapy Physical Therapist PastSince May 1, 2005 Accepting new patients
Farwest Rehabilitation, Inc Past Accepting new patients
Western Physical Therapy Inc Physical Therapist PastSince May 1, 2014 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.

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.

Verify at the official NPI Registry.