Individual provider Active NPI

Mark D Lamberson

  • Physical Therapist
  • Red Bluff, CA
National Provider Identifier
1528287281
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37227 Issued in CA
Practice address
100 Jackson St
Red Bluff, CA 96080-3954
Phone
(530) 529-5777
Fax
(530) 529-5772
NPI assigned
Apr 24, 2007
Last updated
May 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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 PT37227 CA Primary

Addresses

Primary practice location

100 Jackson St
Red Bluff, CA 96080-3954

Mailing address

PO Box 496084
Redding, CA 96049-6084
Phone (530) 241-0473

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110919000293 CA Practitioner - Physical Therapist in Private Practice 4587626783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Bluff Physical Therapy IncGroup PAC ID 7113906405, 2 clinicians

Practice addresses (Care Compare)

100 Jackson St
Red Bluff, CA 96080-3954
Phone (530) 529-5777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37227CAMDGeneral Practice Dentistry
PT37227CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Bluff Physical Therapy Inc Physical Therapist CurrentSince May 1, 2011 Accepting new patients
Chicago Physicians Group LLC PastSince Oct 1, 2014 Accepting new patients
Advanced Health SC Physical Therapist PastSince Apr 3, 2000 Accepting new patients

Locations

100 Jackson St
Red Bluff, CA 96080
Phone (530) 241-1473

2335 Athens Ave
Redding, CA 96001
Phone (530) 215-8899

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, 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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1528287281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496084",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960496084",
            "telephone_number": "530-241-0473",
            "fax_number": "530-241-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JACKSON ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803954",
            "telephone_number": "530-529-5777",
            "fax_number": "530-529-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERSON",
        "first_name": "MARK",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37227",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.