Organization Active NPI

Western Physical Therapy, Inc.

Doing business as Colusa Physical Therapy

  • Physical Therapy Clinic/Center
  • Colusa, CA
National Provider Identifier
1740216332
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WESTERN PHYSICAL THERAPY, INC.
Doing business as
Colusa Physical Therapy
Practice address
844 Bridge St
Suite C
Colusa, CA 95932-2836
Phone
(530) 458-7770
Fax
(530) 458-7735
NPI assigned
Jun 24, 2006
Last updated
Apr 25, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN PHYSICAL THERAPY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Donald Roy Baas, P.T.NPI 1245268317
Title
Co-Owner Physical Therapist
Phone
(530) 221-9952

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0000001948 CA
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

844 Bridge St
Suite C
Colusa, CA 95932-2836

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
GPT001010MedicaidCA

Other names 1

  • Colusa 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
O20050103000515 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022076348 Receives reassigned benefits from 63 practitioners
13 other NPIs on this enrollment
Practice locations: Yuba City, CA; Willows, CA; Weaverville, CA; Redding, CA; Loomis, CA; Gridley, CA; Corning, CA; Colusa, CA…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

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

37451 Main St
Ste A
Burney, CA 96013

37451 Main St
Ste Ab
Burney, CA 96013
Phone (530) 335-3206

1031 Village Ln
Chico, CA 95926
Phone (530) 897-0991

10255 Live Oak Blvd
Live Oak, CA 95953
Phone (530) 695-3700

1255 East St
Redding, CA 96001

2580 Victor Ave
Ste B
Redding, CA 96002
Phone (530) 255-8761

950 Tharp Rd
Ste 903
Yuba City, CA 95993
Phone (530) 434-6256

Practitioners & affiliated clinicians

Practitioners 65

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 65

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1740216332",
    "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": "844 BRIDGE ST",
            "address_2": "SUITE C",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322836",
            "telephone_number": "530-458-7770",
            "fax_number": "530-458-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PHYSICAL THERAPY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN PHYSICAL THERAPY INC",
        "enumeration_date": "2006-06-24",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "BAAS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "CO-OWNER    PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "530-221-9952",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "0000001948",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPT001010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colusa Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colusa Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.