Humboldt Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HUMBOLDT PHYSICAL THERAPY, INC

Practice address

1551 Giuntoli LN
Arcata, CA 95521-4495

Phone

(707) 825-8100

NPI assigned

Jun 21, 2010

Organization subpart

No

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

Authorized official

Name

Mr. James H MooreNPI 1174747000

Title

Ceo/President

Phone

(707) 825-8100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• James Henry Moore, PT

  • Physical Therapist
  • Arcata, CA
  • NPI 1174747000

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Monalisa Perez, RPT

  • Physical Therapist
  • Fort Bragg, CA
  • NPI 1700844362

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Carly McCameron, DPT

  • Physical Therapist
  • Arcata, CA
  • NPI 1477299832
  NPD

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1740501022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 GIUNTOLI LN",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214495",
            "telephone_number": "707-825-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 GIUNTOLI LN",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214495",
            "telephone_number": "707-825-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "707-825-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry R. Hughes, M.D.
• Larissa Hul-Galasek
• Humboldt Appointment Transport LLC
• Humboldt Family Service Center
• Humboldt Hand Therapy Inc.
• Humboldt Pulmonology
• Humboldt Senior Resource Center Incorporated
• Humboldt State University
• Humboldt Womens Health Inc
• Myzanne Huss

• All providers in Arcata, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.