Cottonwood Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24103 Issued in CA

Legal business name

COTTONWOOD PHYSICAL THERAPY, INC.

Practice address

20633 Gas Point Rd Ste J
Cottonwood, CA 96022-9296

Phone

(530) 347-4195

Fax

(530) 347-4192

NPI assigned

May 15, 2007

Last updated

May 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Earl White, PTNPI 1538334552

Title

President

Phone

(530) 347-4195

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Jason Earl White, PT

  • Physical Therapist
  • Cottonwood, CA
  • NPI 1538334552
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1699981589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990955",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960990955",
            "telephone_number": "530-243-2164",
            "fax_number": "530-347-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20633 GAS POINT RD STE J",
            "city": "COTTONWOOD",
            "state": "CA",
            "postal_code": "960229296",
            "telephone_number": "530-347-4195",
            "fax_number": "530-347-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-347-4195",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Louis Christopher, PHARM D
• Cornerstone Physical Therapy
• Kimberly Marie Cory, M.A., LMFT
• Cottonwood Dental Care
• Cottonwood Medical Group
• Cottonwood Union School District
• Patricia De Freitas Simplicio Ananias
• Dignity Health (Dignity Health Lassen Medical Clinic-Cottonwood)
• Divine Medical Staffing Services LLC
• DLB Ranch, Inc

• Physical Therapist in Cottonwood, CA
• Providers in Cottonwood, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.