NPIMap

Organization Active NPI

High Desert Therapists, Inc

  • Physical Therapist
  • Watsonville, CA
National Provider Identifier
1467402016
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HIGH DESERT THERAPISTS, INC
Practice address
60 Penny Lane
Watsonville, CA 95076-3079
Phone
(831) 786-9000
Fax
(831) 786-9100
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Lendell Richard Stephenson, RPTNPI 1831140805
Title
PT/President
Phone
(775) 883-4161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X CA Primary

Addresses

Primary practice location

60 Penny Lane
Watsonville, CA 95076-3079

Mailing address

2874 N Carson St
Suite 100
Carson City, NV 89706-0177
Phone (775) 883-4161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100326000288 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9436145166 Receives reassigned benefits from 6 practitioners
Practice locations: Watsonville, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
High Desert Therapists Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1467402016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 N CARSON ST",
            "address_2": "SUITE 100",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060177",
            "telephone_number": "775-883-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PENNY LANE",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763079",
            "telephone_number": "831-786-9000",
            "fax_number": "831-786-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT THERAPISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "LENDELL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PT/PRESIDENT",
        "authorized_official_telephone_number": "775-883-4161",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.