Mt. Shasta Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MT. SHASTA PHYSICAL THERAPY, INC.

Practice address

633 Lassen LN
Mount Shasta, CA 96067-9002

Phone

(530) 926-6010

Fax

(530) 926-6909

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Lisa Koehler

Title

Billing MGR

Phone

(530) 926-6010

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Nancy Haas

  • Physical Therapy Assistant
  • Mount Shasta, CA
  • NPI 1225413602
  NPD (past)
• Susan Marie Spence, P.T.

  • Physical Therapist
  • Pleasant Hill, CA
  • NPI 1568630184
  NPD (past)
• Eric Drazich, D.C.

  • Chiropractor
  • Gold Bar, WA
  • NPI 1013289289
  NPD (past)
• Sandra Joan Skiff, PT

  • Physical Medicine & Rehabilitation Physician
  • Skaneateles, NY
  • NPI 1588992127
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1417098070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 LASSEN LN",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960679002",
            "telephone_number": "530-926-6010",
            "fax_number": "530-926-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 LASSEN LN",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960679002",
            "telephone_number": "530-926-6010",
            "fax_number": "530-926-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. SHASTA PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "530-926-6010"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mt Shasta Cardiology, Inc
• Mt Shasta Hospitalist Services Inc
• Mt Shasta Hospitalist Services Inc
• Mt Shasta Medi-Cal Clinic, Inc (Alpine Healthcare)
• Mt. Shasta Ambulance Service Inc
• Diana L Muncy, LMFT
• Caleb Andrew Newton, DO
• Nicholas Patrick Brown, DO (MBS Integrative Psychiatry)
• Cori Niles
• North State Hospitalist Medical Group, Inc

• Physical Therapist in Mount Shasta, CA
• Providers in Mount Shasta, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.