Individual provider Active NPI

Thomas L. Amundson, P.T.

  • Physical Therapist
  • Red Bluff, CA
National Provider Identifier
1386745602
Registry record updated Dec 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8266 Issued in CA
Practice address
355 Main St
Red Bluff, CA 96080-3413
Phone
(530) 528-9112
Fax
(530) 528-9398
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2008

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 PT8266 CA Primary

Addresses

Primary practice location

355 Main St
Red Bluff, CA 96080-3413

Mailing address

2050 Main St
Red Bluff, CA 96080-2373
Phone (530) 528-9112

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ66069ZOtherCABLUE SHIELD GROUP NUMBER
P00305915OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT8266CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arons' Chiropractic Inc. PastSince Dec 13, 2005 Accepting new patients
Amundson Physical Therapy Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Bend Physical Therapy Physical Therapist PastSince Oct 26, 2019 Accepting new patients

Organizations & group practices 3

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230336000000",
    "number": "1386745602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 MAIN ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802373",
            "telephone_number": "530-528-9112",
            "fax_number": "530-528-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 MAIN ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803413",
            "telephone_number": "530-528-9112",
            "fax_number": "530-528-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "THOMAS",
        "middle_name": "L.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT8266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "ZZZ66069Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00305915",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.