NPIMap

Organization Active NPI

Western Physical Therapy, Inc.

  • Physical Therapist
  • Willows, CA
National Provider Identifier
1992732333
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0000001210 Issued in CA
Legal business name
WESTERN PHYSICAL THERAPY, INC.
Practice address
116 Lassen Street
Willows, CA 95988-3009
Phone
(530) 934-2870
Fax
(530) 934-2867
NPI assigned
Jun 28, 2006
Organization subpart
Yes
Parent organization
WESTERN PHYSICAL THERAPY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Donald Roy Baas, P.T.
Title
Owner Physical Therapist
Phone
(530) 221-9952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0000001210 CA Primary

Addresses

Primary practice location

116 Lassen Street
Willows, CA 95988-3009

Mailing address

PO Box 493396
Redding, CA 96049-3396
Phone (530) 221-9952

Other identifiers 1

IdentifierTypeStateIssuer
GPT001011MedicaidCA

Other names 1

  • Willows Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050103000515 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022076348 Receives reassigned benefits from 63 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yuba City, CA; Willows, CA; Weaverville, CA; Redding, CA; Loomis, CA; Gridley, CA; Corning, CA; Colusa, CA…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Western Physical Therapy14 organizations share this tax ID, including this one
Part of
Western Physical Therapy

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1992732333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493396",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960493396",
            "telephone_number": "530-221-9952",
            "fax_number": "530-221-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LASSEN STREET",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959883009",
            "telephone_number": "530-934-2870",
            "fax_number": "530-934-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PHYSICAL THERAPY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN PHYSICAL THERAPY, INC.",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "BAAS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER    PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "530-221-9952",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "0000001210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPT001011",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willows Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willows, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.