Active NPI
Helene A Lubben, R.P.T.
- Physical Therapist
- Redding, CA
National Provider Identifier
1487980140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 14180
- Practice address
- 1225 Eureka Way Ste B
Redding, CA 96001-0815 - Phone
- (530) 247-1280
- Fax
- (530) 247-0310
- NPI assigned
- Oct 29, 2009
- Sex
- Female
- 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 | PT 14180 | CA | Primary |
Addresses
Primary practice location
1225 Eureka Way Ste B
Redding, CA 96001-0815
Mailing address
1225 Eureka Way Ste B
Redding, CA 96001-0815
Phone (530) 247-1280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ21096Z | Other | CA | PTAN |
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 |
|---|---|---|---|
| PT 14180 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Bluff Physical Therapy Inc | Physical Therapist | Past | 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 and National Provider Directory roles.
-
- Physical Therapist
- Red Bluff, CA
- NPI 1902861602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1487980140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 EUREKA WAY STE B",
"city": "REDDING",
"state": "CA",
"postal_code": "960010815",
"telephone_number": "530-247-1280",
"fax_number": "530-247-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 EUREKA WAY STE B",
"city": "REDDING",
"state": "CA",
"postal_code": "960010815",
"telephone_number": "530-247-1280",
"fax_number": "530-247-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBBEN",
"first_name": "HELENE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-29",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 14180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "ZZZ21096Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.