NPIMap

Organization Active NPI

Northern Asset Management Inc

Doing business as Anderson Physical Therapy

  • Physical Therapist
  • Anderson, CA
National Provider Identifier
1679599161
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001442 Issued in CA
Legal business name
NORTHERN ASSET MANAGEMENT INC
Doing business as
Anderson Physical Therapy
Practice address
2835 Childress Dr
Anderson, CA 96007-3563
Phone
(530) 378-0998
Fax
(530) 378-2072
NPI assigned
Jul 15, 2006
Last updated
Aug 31, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ANDERSON PHYSICAL THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Brian Scott Baas, P.T.NPI 1730127432
Title
Ceo
Phone
(530) 378-0998

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 001442 CA Primary

Addresses

Primary practice location

2835 Childress Dr
Anderson, CA 96007-3563

Mailing address

PO Box 493396
Redding, CA 96049-3396
Phone (530) 221-9952

Other names 1

  • Anderson Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060809000538 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082617170 Receives reassigned benefits from 11 practitioners
Practice locations: Anderson, CA

National Provider Directory

National Provider Directory
Tax ID family
Western PT Inc15 organizations share this tax ID, including this one
Part of
Northern Asset MGMT Inc

Other organizations with this tax ID 14

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

View all 14

Locations

2835 Childress Dr
Anderson, CA 96007
Phone (530) 378-0998

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1679599161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493396",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960493396",
            "telephone_number": "530-221-9952",
            "fax_number": "530-221-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 CHILDRESS DR",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073563",
            "telephone_number": "530-378-0998",
            "fax_number": "530-378-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ASSET MANAGEMENT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANDERSON PHYSICAL THERAPY",
        "enumeration_date": "2006-07-15",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "BAAS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-378-0998",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "001442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.