Individual provider Active NPI

William R Bassett, DPT

  • Physical Therapist
  • Sacramento, CA
National Provider Identifier
1457853657
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT294408 Issued in CA
Practice address
949 Sandemara St
Sacramento, CA 95838-2754
Phone
(518) 496-2368
NPI assigned
Mar 2, 2018
Last updated
Mar 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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 PT294408 CA Primary

Addresses

Primary practice location

949 Sandemara St
Sacramento, CA 95838-2754

Mailing address

949 Sandemara St
Sacramento, CA 95838-2754

Other practice location 1

705 Gold Lake Dr Ste 350
Folsom, CA 95630-2558
Phone (916) 939-6800

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
PT294408CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Concepts, Inc. PastSince Mar 12, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1457853657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 SANDEMARA ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958382754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 SANDEMARA ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958382754",
            "telephone_number": "518-496-2368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Gold Lake Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956302558",
            "country_code": "US",
            "telephone_number": "916-939-6800",
            "fax_number": "916-939-6874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-02",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.