NPIMap

Organization Active NPI

Spring Hill Physical Therapy PC

  • Physical Therapist
  • Grass Valley, CA
National Provider Identifier
1770869711
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPRING HILL PHYSICAL THERAPY PC
Practice address
300 Sierra College Dr
Suite 165
Grass Valley, CA 95945-5082
Phone
(530) 274-2320
Fax
(530) 274-1568
NPI assigned
Oct 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Gina Diebold
Title
Office Manager
Phone
(530) 274-2320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

300 Sierra College Dr
Suite 165
Grass Valley, CA 95945-5082

Mailing address

300 Sierra College Dr
Suite 165
Grass Valley, CA 95945-5082
Phone (530) 274-2320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120224000232 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9638337496 Receives reassigned benefits from 11 practitioners
Practice locations: Grass Valley, CA

National Provider Directory

National Provider Directory

Locations

300 Sierra College Dr
Ste 165
Grass Valley, CA 95945
Phone (530) 274-2320

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1770869711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SIERRA COLLEGE DR",
            "address_2": "SUITE 165",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455082",
            "telephone_number": "530-274-2320",
            "fax_number": "530-274-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SIERRA COLLEGE DR",
            "address_2": "SUITE 165",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455082",
            "telephone_number": "530-274-2320",
            "fax_number": "530-274-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING HILL PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "DIEBOLD",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-274-2320"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.