NPIMap

Organization Active NPI

Van Dusen Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Yuba City, CA
National Provider Identifier
1699281162
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT24994 Issued in CA
Legal business name
VAN DUSEN PHYSICAL THERAPY INC
Practice address
851 Gray Ave
Yuba City, CA 95991-3652
Phone
(530) 671-8378
Fax
(530) 660-8451
NPI assigned
Dec 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Shawna Van Dusen
Title
Owner
Phone
(530) 632-1280

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT24994 CA Primary
Physical Therapy Clinic/Center 261QP2000X PT293470 CA

Addresses

Primary practice location

851 Gray Ave
Yuba City, CA 95991-3652

Mailing address

851 Gray Ave
Yuba City, CA 95991-3652
Phone (530) 671-8378

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180212001994 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3779843719 Receives reassigned benefits from 5 practitioners
Practice locations: Yuba City, CA

National Provider Directory

National Provider Directory

Locations

851 Gray Ave
Yuba City, CA 95991
Phone (530) 632-1707

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1699281162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 GRAY AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913652",
            "telephone_number": "530-671-8378",
            "fax_number": "530-660-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 GRAY AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913652",
            "telephone_number": "530-671-8378",
            "fax_number": "530-660-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN DUSEN PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "VAN DUSEN",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-632-1280"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT24994",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT293470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.