Active NPI
Red Bluff Physical Therapy Inc
- Physical Therapist
- Red Bluff, CA
National Provider Identifier
1902861602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT14685
- Legal business name
- RED BLUFF PHYSICAL THERAPY INC
- Practice address
- 100 Jackson St
Red Bluff, CA 96080-3954 - Phone
- (530) 529-5777
- Fax
- (530) 529-5772
- NPI assigned
- Apr 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Montana, P.T.
- Title
- Owner
- Phone
- (530) 529-5777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT14685 | CA | Primary |
Addresses
Primary practice location
100 Jackson St
Red Bluff, CA 96080-3954
Mailing address
PO Box 496084
Redding, CA 96049-6084
Phone (530) 241-0473
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ135352 | Other | BLUE SHIELD GROUP NUMBER | |
| PT0146850 | Medicaid | CA | |
| P00052571 | Other | RAIL ROAD MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 Jackson St
Red Bluff, CA 96080
Phone (530) 241-1473
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Red Bluff, CA
- NPI 1114028305
-
- Physical Therapist
- Red Bluff, CA
- NPI 1528287281
-
- Physical Therapist
- Redding, CA
- NPI 1487980140
-
- Physical Therapist
- Redding, CA
- NPI 1821166547
-
- Physical Therapist
- Red Bluff, CA
- NPI 1063439792
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": "1611187200000",
"number": "1902861602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 496084",
"city": "REDDING",
"state": "CA",
"postal_code": "960496084",
"telephone_number": "530-241-0473",
"fax_number": "530-241-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 JACKSON ST",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960803954",
"telephone_number": "530-529-5777",
"fax_number": "530-529-5772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED BLUFF PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A",
"authorized_official_last_name": "MONTANA",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "530-529-5777",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT14685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP NUMBER",
"identifier": "ZZZ135352",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT0146850",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE PIN",
"identifier": "P00052571",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Red Bluff, CA
- Denise Rea-Morales
- Wendy Sue Ream
- Red Bluff Elementary
- Red Bluff Health Care, Inc.
- Red Bluff Joint Union High School District
- Red Bluff Union Elementary
- Red Bluff Union Elementary School
- Red Bluff Union Elementary School District
- Red Bluff Union Elementary School District
- Red Oaks Hospitalist Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.