NPIMap

Organization Active NPI

Amundson Physical Therapy

  • Physical Therapist
  • Red Bluff, CA
National Provider Identifier
1861457418
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8266 Issued in CA
Legal business name
AMUNDSON PHYSICAL THERAPY
Practice address
638 Washington St
Red Bluff, CA 96080-3321
Phone
(530) 528-9112
Fax
(530) 529-9398
NPI assigned
Apr 18, 2006
Last updated
Sep 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Yvonne Crume
Title
Provider Relations
Phone
(530) 224-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT8266 CA Primary

Addresses

Primary practice location

638 Washington St
Red Bluff, CA 96080-3321

Mailing address

2520 Goodwater Ave
Suite a
Redding, CA 96002-1514
Phone (530) 224-3322

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ66069ZOtherBLUE SHIELD GROUP
ZZZ32373ZOtherMEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

638 Washington St
Red Bluff, CA 96080
Phone (530) 528-9112

2520 Goodwater Ave
Ste A
Redding, CA 96002

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1861457418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 GOODWATER AVE",
            "address_2": "SUITE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021514",
            "telephone_number": "530-224-3322",
            "fax_number": "530-224-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 WASHINGTON ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960803321",
            "telephone_number": "530-528-9112",
            "fax_number": "530-529-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMUNDSON PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "CRUME",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "PROVIDER RELATIONS",
        "authorized_official_telephone_number": "530-224-3322"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT8266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP",
            "identifier": "ZZZ66069Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "ZZZ32373Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.