Active NPI
Ralph Christopher Magnuson, PT
- Physical Therapist
- Redding, CA
National Provider Identifier
1821166547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT16216
- Practice address
- 3278 Bechelli LN
Redding, CA 96002-2005 - Phone
- (530) 223-9474
- Fax
- (530) 223-6937
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT16216 | CA | Primary |
Addresses
Primary practice location
3278 Bechelli LN
Redding, CA 96002-2005
Mailing address
3278 Bechelli LN
Redding, CA 96002-2005
Phone (530) 223-9474
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT0162160 | Medicaid | CA | |
| ZZZ26923Z | Other | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16216 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Bluff Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Red Bluff, CA
- NPI 1902861602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1821166547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3278 BECHELLI LN",
"city": "REDDING",
"state": "CA",
"postal_code": "960022005",
"telephone_number": "530-223-9474",
"fax_number": "530-223-6937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3278 BECHELLI LN",
"city": "REDDING",
"state": "CA",
"postal_code": "960022005",
"telephone_number": "530-223-9474",
"fax_number": "530-223-6937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNUSON",
"first_name": "RALPH",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT16216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT0162160",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "ZZZ26923Z",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.