Active NPI
Thomas L. Amundson, P.T.
- Physical Therapist
- Red Bluff, CA
National Provider Identifier
1386745602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8266
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ66069Z | Other | CA | BLUE SHIELD GROUP NUMBER |
| P00305915 | Other | CA | RAILROAD 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT8266 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arons' Chiropractic Inc. | Past | Accepting new patients | |
| Amundson Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Bend Physical Therapy | Physical Therapist | Past | 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.
-
- Physical Therapist
- Red Bluff, CA
- NPI 1861457418
-
- Chiropractor
- Red Bluff, CA
- NPI 1659582013
-
- Physical Therapist
- Red Bluff, CA
- NPI 1790329829
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.