Individual provider Active NPI

Virginia Bacciarini, PT

  • Physical Therapist
  • Redding, CA
National Provider Identifier
1548445604
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 34359 Issued in CA
Practice address
2449 Court St
Redding, CA 96001-2525
Phone
(530) 244-7686
Fax
(530) 244-9581
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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 PT 34359 CA Primary

Addresses

Primary practice location

2449 Court St
Redding, CA 96001-2525

Mailing address

20442 Tioga Ter
Redding, CA 96002-9799

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
PT 34359CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cresswell Physical Therapy and Hand Rehabilitation Inc Physical Therapist PastSince Oct 20, 2014 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1548445604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20442 TIOGA TER",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960029799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012525",
            "telephone_number": "530-244-7686",
            "fax_number": "530-244-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCIARINI",
        "first_name": "VIRGINIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 34359",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 9, 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.

Verify at the official NPI Registry.