Shasta Lake Physical Therapy
NPI 1255376893ActiveOrganization· Physical Therapist· Shasta Lake, CA
Physical Therapist in Shasta Lake, California, registered in NPPES in June 2006. The authorized official on file is Donald Roy Baas, P.T., Co-Owner / Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1255376893 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 18, 2006 |
| Last updated in NPPES | Feb 25, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 00-0004 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
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