PHYSICAL THERAPY AT THE HEALTH CLUB (NPI# 1518050442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518050442 |
| Entity Type | Organization |
| Organization Name | PHYSICAL THERAPY AT THE HEALTH CLUB |
| Practice Address |
3101 South State Street Suite A Ukiah CA 95482 |
| Practice Telephone | 7074683844 |
| Practice Fax Number | 7074685001 |
| Mailing Telephone | 7074683844 |
| Mailing Fax Number | 7074685001 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-10-03 |
| Authorized Official Name | MR. ROBERT BLENNE HASSETT (CO OWNER OF BUSINESS) |
| Authorized Official Telephone | 7074683844 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE | 0PT126590 | 01 |
| Street Address |
3101 SOUTH STATE STREET SUITE A |
| City | UKIAH |
| State | CA |
| Zip Code | 95482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| 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 |
|---|---|---|---|---|
| 1639321078 | Shannon E Morris | Physical Therapist | 1201 El Dorado Rd, Ukiah, CA 95482-3680 | 2008-10-16 |
| 1841499845 | Sara Bogner | Physical Therapist | 195 Seminary Ave, Ukiah, CA 95482-5439 | 2007-07-11 |
| 1821290693 | Lacey Lou Munoz | Physical Therapist | 404 E Perkins St, Ukiah, CA 95482-4507 | 2007-06-04 |
| 1376608166 | Sharon Lieser | Physical Therapist | 206 Mason St, Suite C, Ukiah, CA 95482-4493 | 2006-12-22 |
| 1497845143 | William R Bracewell | Physical Therapist | 846 S Dora St, Ukiah, CA 95482-5711 | 2006-10-13 |
| 1649294943 | Patricia Ann Morgan | Physical Therapist | 525 Spanish Canyon Dr, Ukiah, CA 95482-6837 | 2006-07-27 |
| 1417937277 | Robert Blenner Hassett IIi | Physical Therapist | 3101 S State St, Suite A, Ukiah, CA 95482-6938 | 2006-01-18 |
| 1134103807 | William Hoomalu Jr. | Physical Therapist | 260 Hospital Drive, Ukiah, CA 95482-8325 | 2005-12-05 |
| 1114912110 | Richard Leroy Beddoe | Physical Therapist | 311 Luce Ave, Ukiah, CA 95482-5667 | 2005-09-15 |
| 1386258747 | Anthony Trey Maldonado | Physical Therapist | 846 S Dora St, Ukiah, CA 95482-5711 | 2020-09-03 |
| Find all providers in UKIAH | ||||
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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.