Colusa Physical Therapy | |
844 Bridge St, Suite C, Colusa, CA 95932-2836 | |
(530) 458-7770 | |
(530) 458-7735 |
Full Name | Colusa Physical Therapy |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 844 Bridge St, Colusa, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740216332 | NPI | - | NPPES |
GPT001010 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0000001948 (California) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | James G Earle |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235210501 PECOS PAC ID: 9638076391 Enrollment ID: I20031222000910 |
Provider Name | Todd E Wood |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073541140 PECOS PAC ID: 8022007525 Enrollment ID: I20040521000859 |
Provider Name | Brian S Baas |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730127432 PECOS PAC ID: 3173508702 Enrollment ID: I20050104000916 |
Provider Name | Donald R Baas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245268317 PECOS PAC ID: 1153223607 Enrollment ID: I20050104000947 |
Provider Name | Mark Ashley Mccoy |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366541740 PECOS PAC ID: 0345148243 Enrollment ID: I20060302000272 |
Provider Name | Jonathan M Royce |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811925985 PECOS PAC ID: 3375553126 Enrollment ID: I20060425000304 |
Provider Name | Kimberli A Woodard |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811057698 PECOS PAC ID: 8527069855 Enrollment ID: I20070129000572 |
Provider Name | Jeffrey R Howell |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851493274 PECOS PAC ID: 9537260153 Enrollment ID: I20070726000755 |
Provider Name | Garret A Gheen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356396642 PECOS PAC ID: 8123107299 Enrollment ID: I20080501000232 |
Provider Name | Erin M Baas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427253699 PECOS PAC ID: 1759438617 Enrollment ID: I20090409000554 |
Provider Name | Lisa M Boyan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679683338 PECOS PAC ID: 3870630924 Enrollment ID: I20100322000223 |
Provider Name | Jeremy W Knedel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538405881 PECOS PAC ID: 1759536022 Enrollment ID: I20130313000190 |
Provider Name | John J Kvale |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336379874 PECOS PAC ID: 4183760325 Enrollment ID: I20130820000241 |
Provider Name | Gillian J Barbaria |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619379922 PECOS PAC ID: 0143442558 Enrollment ID: I20141118002684 |
Provider Name | Matthew Bennion |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457743239 PECOS PAC ID: 8426377045 Enrollment ID: I20150504001574 |
Provider Name | Samuel L Iqbal-hofmeister |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831598762 PECOS PAC ID: 7517277460 Enrollment ID: I20151105001843 |
Provider Name | Kevin S Elo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801841630 PECOS PAC ID: 5890724058 Enrollment ID: I20151116000691 |
Provider Name | Anthony S Gravin |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649640988 PECOS PAC ID: 7911204391 Enrollment ID: I20160629001815 |
Provider Name | Ryan V Troll |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477008035 PECOS PAC ID: 6901184365 Enrollment ID: I20161107000311 |
Provider Name | Shauna K Leeds |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851790562 PECOS PAC ID: 6406133503 Enrollment ID: I20170427000615 |
Provider Name | Paul Robert Doucot |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881123560 PECOS PAC ID: 6608145206 Enrollment ID: I20170712002769 |
Provider Name | Rachel K Lange |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538687769 PECOS PAC ID: 7618233511 Enrollment ID: I20171109000860 |
Provider Name | Renee C Binner |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518459841 PECOS PAC ID: 8820344120 Enrollment ID: I20180628001531 |
Provider Name | Alicia M Terwilliger |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043728116 PECOS PAC ID: 5991043630 Enrollment ID: I20190205002019 |
Provider Name | David H Montgomery |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902344203 PECOS PAC ID: 2567728694 Enrollment ID: I20190305002874 |
Provider Name | Breanna M Duso |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669035002 PECOS PAC ID: 4385977016 Enrollment ID: I20190611002716 |
Provider Name | Bethany A Jutzy |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134523491 PECOS PAC ID: 0345551594 Enrollment ID: I20190819002088 |
Provider Name | Veronica M Houghton |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558789800 PECOS PAC ID: 2860611340 Enrollment ID: I20191028001450 |
Provider Name | Michael J Mulhaney |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295228443 PECOS PAC ID: 4284066903 Enrollment ID: I20191119002019 |
Provider Name | Alexandra L Schad |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104319359 PECOS PAC ID: 6507118700 Enrollment ID: I20191120000271 |
Provider Name | Alex Davies |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356824452 PECOS PAC ID: 5496009235 Enrollment ID: I20191216000933 |
Provider Name | Melissa D Thomas |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336574854 PECOS PAC ID: 1759519960 Enrollment ID: I20200205002551 |
Provider Name | Caleb A Miraglia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952948028 PECOS PAC ID: 6204263882 Enrollment ID: I20200309002139 |
Provider Name | Crystal Y Cassell |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871965228 PECOS PAC ID: 8325341480 Enrollment ID: I20200401001605 |
Provider Name | Glenn S Cassell |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366814717 PECOS PAC ID: 3072815422 Enrollment ID: I20200404000047 |
Provider Name | Daniel Glenn Tiano |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881202166 PECOS PAC ID: 3173948403 Enrollment ID: I20200809000018 |
Provider Name | Erin M Davids |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831708742 PECOS PAC ID: 5395163000 Enrollment ID: I20200910000838 |
Provider Name | Stephen R Davids |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144839366 PECOS PAC ID: 5890113278 Enrollment ID: I20200916003162 |
Provider Name | Angela E Heintz |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275141582 PECOS PAC ID: 9234559964 Enrollment ID: I20201020000432 |
Provider Name | Justin D Hahn |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124638473 PECOS PAC ID: 2365853900 Enrollment ID: I20201202002763 |
Provider Name | Kelsey J Vanderlaan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225488638 PECOS PAC ID: 1355632951 Enrollment ID: I20210106001344 |
Provider Name | Erich N Funke |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144680463 PECOS PAC ID: 2567733686 Enrollment ID: I20210119002786 |
Provider Name | Katherine D Ambrosia |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700253689 PECOS PAC ID: 7911215314 Enrollment ID: I20210215000620 |
Provider Name | Jacquelyn B Leslie |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588144406 PECOS PAC ID: 9537412390 Enrollment ID: I20210518002797 |
Provider Name | Jaren L Warren |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518036474 PECOS PAC ID: 7911960422 Enrollment ID: I20210629000887 |
Provider Name | Erin P Baas |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1922574789 PECOS PAC ID: 4284035833 Enrollment ID: I20210702000845 |
Provider Name | Noah P Gausman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215507694 PECOS PAC ID: 1355744517 Enrollment ID: I20210726001483 |
Provider Name | Cassidy Gausman |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770256885 PECOS PAC ID: 4082019922 Enrollment ID: I20210816003100 |
Provider Name | Christine R Anderson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467126029 PECOS PAC ID: 2769888460 Enrollment ID: I20210903001797 |
Provider Name | Cody J Jacks |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669148391 PECOS PAC ID: 6800294059 Enrollment ID: I20211001002687 |
Provider Name | Christopher J Hedgecock |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538838750 PECOS PAC ID: 2264820703 Enrollment ID: I20211102001951 |
Provider Name | Andrea R Boatwright |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801550850 PECOS PAC ID: 0648660480 Enrollment ID: I20211209000872 |
Provider Name | Christopher Evan Johnson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669148052 PECOS PAC ID: 6103217856 Enrollment ID: I20220106002281 |
Provider Name | Jennifer N Lichti |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013554989 PECOS PAC ID: 6800221573 Enrollment ID: I20220908001491 |
Provider Name | Cory Stattelman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457966293 PECOS PAC ID: 3476971896 Enrollment ID: I20230427002094 |
Provider Name | Mina Park |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285411405 PECOS PAC ID: 5395194989 Enrollment ID: I20231207002735 |
Provider Name | Dave H Topiwala |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104605617 PECOS PAC ID: 1254777311 Enrollment ID: I20240311004072 |
Provider Name | Alice Hajdu |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417421702 PECOS PAC ID: 7315384708 Enrollment ID: I20240320004162 |
Mailing Address | Practice Location Address |
---|---|
Colusa Physical Therapy Po Box 493396, Redding, CA 96049-3396 Ph: (530) 221-9952 | Colusa Physical Therapy 844 Bridge St, Suite C, Colusa, CA 95932-2836 Ph: (530) 458-7770 |