Organization Active NPI

Cascade Physical Therapy

  • Physical Therapy Clinic/Center
  • Redding, CA
National Provider Identifier
1578918140
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
26399 Issued in CA
Legal business name
CASCADE PHYSICAL THERAPY
Practice address
1007 Dana Dr Ste E
Address 2
Redding, CA 96003-4036
Phone
(530) 222-5188
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Erick Goss, DPT
Title
Owner/Physical Therapist
Phone
(530) 222-5188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 26399 CA Primary

Addresses

Primary practice location

1007 Dana Dr Ste E
Address 2
Redding, CA 96003-4036

Mailing address

1007 Dana Dr Ste E
Address 2
Redding, CA 96003-4036
Phone (530) 222-5188

Other identifiers 1

IdentifierTypeStateIssuer
PT0263990MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1578918140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 DANA DR STE E",
            "address_2": "ADDRESS 2",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034036",
            "telephone_number": "530-222-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 DANA DR STE E",
            "address_2": "ADDRESS 2",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034036",
            "telephone_number": "530-222-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "530-222-5188",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "26399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0263990",
            "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 May 2, 2016; 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.