Individual provider Active NPI

Jose Solis, P.T.,D.P.T.

  • Physical Therapist
  • Gridley, CA
National Provider Identifier
1255865432
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
292974 Issued in CA
Practice address
364 Bayberry Way
Gridley, CA 95948-2804
Phone
(530) 321-3471
NPI assigned
Apr 14, 2017
Last updated
Apr 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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 292974 CA Primary

Addresses

Primary practice location

364 Bayberry Way
Gridley, CA 95948-2804

Mailing address

364 Bayberry Way
Gridley, CA 95948-2804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170502000423 CA Practitioner - Physical Therapist in Private Practice 2769769637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spinal Rehabilitation, Inc.Group PAC ID 2466591375, 2 clinicians

Practice addresses (Care Compare)

1585 Butte House Rd
Suite a
Yuba City, CA 95993-2200
Phone (530) 751-9340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spinal Rehabilitation, Inc. CurrentSince Apr 17, 2017 Accepting new patients
Advanced Spinal Rehabilitation, Inc. CurrentSince Apr 17, 2017 Accepting new patients

Locations

1585 Butte House Rd
Ste A
Yuba City, CA 95993
Phone (530) 673-8792

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1255865432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 BAYBERRY WAY",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 BAYBERRY WAY",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482804",
            "telephone_number": "530-321-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "JOSE",
        "credential": "P.T.,D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gridley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.