NPIMap

Organization Active NPI

Advanced Spinal Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Yuba City, CA
National Provider Identifier
1306073820
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ADVANCED SPINAL REHABILITATION, INC.
Practice address
1585 Butte House Rd
Ste a
Yuba City, CA 95993-2200
Phone
(530) 673-8792
Fax
(530) 673-0151
NPI assigned
Jun 11, 2009
Last updated
Dec 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Janice Irene Gies
Title
General Partner
Phone
(530) 673-8792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1585 Butte House Rd
Ste a
Yuba City, CA 95993-2200

Mailing address

1585 Butte House Rd
Ste a
Yuba City, CA 95993-2200
Phone (530) 673-8792

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091207000545 CA Part B Supplier - Clinic/Group Practice 2466591375 Receives reassigned benefits from 2 practitioners
Practice locations: Yuba City, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1306073820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 BUTTE HOUSE RD",
            "address_2": "STE A",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959932200",
            "telephone_number": "530-673-8792",
            "fax_number": "530-673-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 BUTTE HOUSE RD",
            "address_2": "STE A",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959932200",
            "telephone_number": "530-673-8792",
            "fax_number": "530-673-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINAL REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "GIES",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "530-673-8792"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.