Individual provider Active NPI

Joseph Patrick Purcell, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Redding, CA
National Provider Identifier
1326227901
Registry record updated May 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A10323 Issued in CA
Practice address
1945 Shasta St
Redding, CA 96001-0443
Phone
(530) 244-4608
Fax
(530) 247-1096
NPI assigned
Oct 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 245815 NY
Physical Medicine & Rehabilitation Physician 208100000X 20A10323 CA Primary

Addresses

Primary practice location

1945 Shasta St
Redding, CA 96001-0443

Mailing address

1945 Shasta St
Redding, CA 96001-0443
Phone (530) 244-4608

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ58464YOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090605000318 CA Practitioner - Physical Medicine and Rehabilitation 2466502885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1945 Shasta St
Redding, CA 96001-0478
Phone (530) 244-4608

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10323CAMDPhysical Medicine & Rehabilitation Physician
245815NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Spine and Sports Medicine, Inc. Physical Medicine & Rehabilitation CurrentSince Oct 1, 2009 Accepting new patients
Lags Spine and Sportscare Medical Centers, Inc. Past Accepting new patients
Lags Spine and Sportscare Medical Centers Inc Past Accepting new patients
Regenerative Spine, Pain, and Neuropathy Centers, Inc. Physical Medicine & Rehabilitation PastSince Jun 22, 2021 Accepting new patients
Lags Spine and Sportscare Medical Centers, Inc. Past Accepting new patients

Locations

1945 Shasta St
Redding, CA 96001
Phone (530) 244-4608

Interoperability endpoints

  • Direct secure messaging: reddingspineandsportsmedicine.josephppurcell@139361.advancedmd-direct.com

Organizations & group practices 5

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": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401062400000",
    "number": "1326227901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 SHASTA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010443",
            "telephone_number": "530-244-4608",
            "fax_number": "530-247-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 SHASTA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010443",
            "telephone_number": "530-244-4608",
            "fax_number": "530-247-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2014-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "245815",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A10323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ58464Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.