Shasta Lake Physical Therapy
LBN: Shasta Lake Physical Therapy
Shasta Lake Physical Therapy is an health care organization with primary practice located at 5061 Shasta Dam Blvd , Shasta Lake CA 96019-9422. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Shasta Lake Physical Therapy can be contacted via phone (530) 275-0777, or through Baas, Donald Roy via phone (530) 221-9952.
Contact Information
Primary practice address
5061 Shasta Dam Blvd
Shasta Lake CA 96019-9422
Phone: (530) 275-0777
Fax: (530) 275-8779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 00-0004 | California |
Profile Details
| NPI number | 1255376893 |
|---|---|
| LBN Legal business name | Shasta Lake Physical Therapy |
| DBA Doing business as | |
| Authorized official | Baas, Donald Roy Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Feb 25th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255376893 | NPPES |
| California | MEDICAID | GPT1000840 |
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