Yuba City Physical Therapy, a Professional Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13472 Issued in CA

Legal business name

YUBA CITY PHYSICAL THERAPY, A PROFESSIONAL CORPORATION

Practice address

1670 Sierra Ave
Suite 303
Yuba City, CA 95993-9411

Phone

(530) 822-0800

Fax

(530) 822-0898

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Jack Carmichael, PT

Title

President

Phone

(530) 822-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Yuba City Physical Therapy Former legal business name

Locations

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679797039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 SIERRA AVE",
            "address_2": "SUITE 303",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959939411",
            "telephone_number": "530-822-0800",
            "fax_number": "530-822-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 SIERRA AVE",
            "address_2": "SUITE 303",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959939411",
            "telephone_number": "530-822-0800",
            "fax_number": "530-822-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUBA CITY PHYSICAL THERAPY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARMICHAEL",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-822-0800",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "13472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PTO134720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yuba City Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Physical Therapist in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.