Paul Henry Zwetsloot, M.P.T.
Individual provider Active NPI Physical Therapist · Weed, CA
NPI 1831242650 · NPPES record last updated Dec 17, 2012
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Jul 20, 2023.
Key facts
- NPI
- 1831242650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT20201 (CA)
- Practice address
- 590 Main St
Suite H
Weed, CA 96094-2339 - Phone
- (530) 938-3344
- Fax
- (530) 938-3340
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT20201 | CA | Yes |
| Sports Physical Therapist | 2251S0007X | PT20201 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | PT20201 | CA |
Addresses
Primary practice location
590 Main St
Suite H
Weed, CA 96094-2339
Mailing address
6018 High Meadow Dr
Weed, CA 96094-9045
Phone (530) 938-1686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00185370 | Other | CA | RAILROAD MEDICARE PIN |
Other providers in Weed, CA
All providers in Weed, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.