Shasta Lake Physical Therapy - Medicare Physical Therapist in Shasta Lake, CA

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Shasta Lake Physical Therapy is a medicare enrolled "Physical Therapist" provider in Shasta Lake, California. Their current practice location is 5061 Shasta Dam Blvd, Shasta Lake, California. You can reach out to their office (for appointments etc.) via phone at (530) 275-0777.

Shasta Lake Physical Therapy is licensed to practice in California (license number 00-0004) and it also participates in the medicare program. Shasta Lake Physical Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1255376893.

Contact Information

Shasta Lake Physical Therapy
5061 Shasta Dam Blvd,
Shasta Lake, CA 96019-9422
(530) 275-0777
(530) 275-8779

Map and Direction




Healthcare Provider's Profile

Full NameShasta Lake Physical Therapy
TypeFacility
SpecialityPhysical Therapist
Location5061 Shasta Dam Blvd, Shasta Lake, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255376893
  • Provider Enumeration Date: 06/18/2006
  • Last Update Date: 02/25/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 1557304896
  • Enrollment ID: O20050607000966

Medical Identifiers

Medical identifiers for Shasta Lake Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255376893NPI-NPPES
GPT1000840MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 00-0004 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Shasta Lake Physical Therapy acts as a billing entity for following providers:
Provider NameJames G Earle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235210501
PECOS PAC ID: 9638076391
Enrollment ID: I20031222000910
Provider NameTodd E Wood
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073541140
PECOS PAC ID: 8022007525
Enrollment ID: I20040521000859
Provider NameDonald R Baas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245268317
PECOS PAC ID: 1153223607
Enrollment ID: I20050104000947
Provider NameErin M Baas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427253699
PECOS PAC ID: 1759438617
Enrollment ID: I20090409000554
Provider NameJeremy W Knedel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538405881
PECOS PAC ID: 1759536022
Enrollment ID: I20130313000190
Provider NameKevin S Elo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801841630
PECOS PAC ID: 5890724058
Enrollment ID: I20151116000691
Provider NameRyan V Troll
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477008035
PECOS PAC ID: 6901184365
Enrollment ID: I20161107000311
Provider NameStephen R Davids
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144839366
PECOS PAC ID: 5890113278
Enrollment ID: I20200916003162
Provider NameHaley M Riney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548703770
PECOS PAC ID: 5193130284
Enrollment ID: I20210223002847
Provider NameAngela R Santoro
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982184701
PECOS PAC ID: 2466702931
Enrollment ID: I20210624003403

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shasta Lake Physical Therapy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shasta Lake Physical Therapy
Po Box 493396,
Redding, CA 96049-3396

Ph: (530) 221-9952		Shasta Lake Physical Therapy
5061 Shasta Dam Blvd,
Shasta Lake, CA 96019-9422

Ph: (530) 275-0777

Reviews and Comments


Physical Therapist in Shasta Lake, CA

Jennifer Lynn Ratliff, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4216 Shasta Dam Blvd, Shasta Lake, CA 96019
Phone: 530-275-0777    Fax: 530-275-8779
Stephen Davids,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 5061 Shasta Dam Blvd, Shasta Lake, CA 96019
Phone: 530-275-0777    
Mr. James G Earle, M.P.T., C.S.C.S.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 5061 Shasta Dam Blvd, Shasta Lake, CA 96019
Phone: 530-275-0777    Fax: 530-275-8779
Donald Roy Baas, P.T.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 5061 Shasta Dam Blvd, Shasta Lake, CA 96019
Phone: 530-275-0777    Fax: 530-275-8779
Erin Marie Baas, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 5061 Shasta Dam Blvd, Shasta Lake, CA 96019
Phone: 530-275-0777    Fax: 530-275-8779
Ryan Vaughn Troll, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 5061 Shasta Dam Blvd, Shasta Lake, CA 96019
Phone: 530-275-0777    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.