CALIFORNIA SPORTS PHYSICAL THERAPY CENTERS, INC. (NPI# 1093797524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093797524 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA SPORTS PHYSICAL THERAPY CENTERS, INC. |
| Other Organization Name | EMERALD BAY PHYSICAL THERAPY |
| Practice Address |
812 Emerald Bay Road S Lake Tahoe CA 96150 |
| Mailing Address |
Po Box 612260 San Jose CA 95161 |
| Practice Telephone | 5305422662 |
| Practice Fax Number | 5305422661 |
| Mailing Telephone | 8773252776 |
| Mailing Fax Number | 4089454011 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | ANNE LASSON (VICE PRESIDENT) |
| Authorized Official Telephone | 4085700510 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUESHIELD | ZZZ66046Z | 01 |
| CA | CIGNA | 7666078 | 01 |
| Other Name | Type Code |
|---|---|
| Emerald Bay Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467436329 | California Sports Physical Therapy Centers, Inc. | Physical Therapist | 2000 Garden Rd, Monterey, CA 93940-5313 | 2005-12-05 |
| 1528040037 | California Sports Physical Therapy Centers, Inc. | Physical Therapist | 1306 W Avenue J, Suite 2, Lancaster, CA 93534 | 2005-11-18 |
| 1689656191 | California Sports Physical Therapy Centers, Inc. | Physical Therapist | 548 W Eaton Ave, Tracy, CA 95376 | 2005-11-18 |
| 1235111741 | California Sports Physical Therapy Centers, Inc. | Occupational Therapist | 5910 Pacific Ave, Stockton, CA 95207-4704 | 2005-11-18 |
| 1124000682 | California Sports Physical Therapy Centers, Inc. | Physical Therapist | 2230 Gladstone Dr, Pittsburg, CA 94565-5121 | 2005-11-18 |
| 1134458557 | California Sports Physical Therapy Centers, Inc. | Physical Therapist | 350 Bollinger Canyon Ln, Ste A, San Ramon, CA 94582-4592 | 2009-12-14 |
| 1538143342 | California Sports Physical Therapy Centers, Inc. | Physical Therapist | 2255 Ygnacio Valley Rd, Ste E, Walnut Creek, CA 94598-3343 | 2005-12-05 |
| 1376527234 | California Sports Physical Therapy Centers, Inc. | Occupational Therapist | 2711 Lone Tree Way, Antioch, CA 94509 | 2005-12-05 |
| 1225012032 | California Sports Physical Therapy Centers, Inc. | Physical Therapist | 333 Hegenberger Rd, #250, Oakland, CA 94621 | 2005-12-05 |
| 1144202615 | California Sports Physical Therapy Centers, Inc. | Physical Therapist | 20211 Patio Dr, #205, Castro Valley, CA 94546-4338 | 2005-11-18 |
| Street Address |
812 EMERALD BAY ROAD |
| City | S LAKE TAHOE |
| State | CA |
| Zip Code | 96150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818969 | Terri Wong | Behavior Technician | 908 Alameda Ave, #b, South Lake Tahoe, CA 96150 | 2017-05-18 |
| 1154735157 | Catherine Anne Jones | Dental Hygienist | 1088 4th St # 6, South Lake Tahoe, CA 96150 | 2014-06-17 |
| 1245663194 | Sheila Marie Gwin | Behavioral Analyst | 2111south Ave, South Lake Tahoe, CA 96150 | 2013-08-14 |
| 1164785598 | Launa Jean Martin | Doula | 1399 Bozeman Dr, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1881957355 | Elizabeth Marilyn Mcnamara | Emergency Medicine | Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1295034627 | Dana Elizabeth Cox | Chiropractor | 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 | 2011-03-24 |
| 1639485162 | April Lyn Westfall | Dentist | 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 | 2010-08-21 |
| 1700199270 | Rollie E Rohnow | Pharmacist | 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 | 2010-07-26 |
| 1699000455 | Ellen Newell Mccullough | Physical Therapist | 1900 High Meadow Trail, South Lake Tahoe, CA 96150 | 2009-10-13 |
| 1093941148 | Ashley Elizabeth Bedell | Counselor | 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 | 2009-06-03 |
| Find all providers in zip 96150 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710961115 | Richard N Alexander | Physical Therapist | 812 Emerald Bay Rd, S Lake Tahoe, CA 96150-6413 | 2005-11-30 |
| 1679853238 | Jessica H Jones | Physical Therapist | 812 Emerald Bay Rd, S Lake Tahoe, CA 96150-6413 | 2011-08-26 |
| 1134306137 | Richard N Alexander | Physical Therapist | 812 Emerald Bay Rd, S Lake Tahoe, CA 96150-6413 | 2008-01-22 |
| 1952326761 | Joann H. Dohallow | Physical Therapist | 812 Emerald Bay Rd, S Lake Tahoe, CA 96150-6413 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962365 | Sydney Nicole Stuber | Physical Therapist | 5580 La Jolla Blvd # 486, La Jolla, CA 92037-7651 | 2020-11-06 |
| 1972104925 | Andrew Sungmin Lee | Physical Therapist | 21915 Hawaiian Ave Apt D, Hawaiian Gardens, CA 90716-6001 | 2020-11-05 |
| 1932700960 | David Eric Malachowski Onne | Physical Therapist | 140 Diamond Creek Pl Unit 125, Roseville, CA 95747-7188 | 2020-11-05 |
| 1427659564 | Iris Vivien Agcaoili Lucena | Physical Therapist | 1415 Heatherwood Ave, Chula Vista, CA 91913-2973 | 2020-11-04 |
| 1881295293 | Momentum Physical Therapy | Physical Therapist | 140 Litton Dr Ste 200, Grass Valley, CA 95945-5080 | 2020-11-03 |
| 1063012623 | Dhrutika Lunagariya | Physical Therapist | 401 Webster St, Palo Alto, CA 94301-1244 | 2020-10-31 |
| 1346840147 | Herbert Ashley Larsen | Physical Therapist | 24736 Daisy Ave, Loma Linda, CA 92354-3307 | 2020-10-30 |
| 1255931382 | Ansel Bjorn Schmidt | Physical Therapist | 4500 Gilbert St, Oakland, CA 94611-4657 | 2020-10-28 |
| 1487254827 | Hy Ia | Physical Therapist | 1516 S Sierra Vista Ave Apt C, Alhambra, CA 91801-5125 | 2020-10-26 |
| 1831798487 | Olivia Renee Johnston | Physical Therapist | 26072 Merit Cir Ste 119, Laguna Hills, CA 92653-7015 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
| City | S LAKE TAHOE |
| Zip Code | 96150 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.