Shasta Lake Physical Therapy
NPI 1255376893 · Physical Therapist · Shasta Lake, CA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shasta Lake Physical Therapy is a Physical Therapist organization in Shasta Lake, CA (NPI 1255376893).
Provider details
- NPI number
- 1255376893
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Donald Baas, Co-Owner / Physical Therapist(530) 221-9952
- License
- 00-0004 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-18
- Last updated
- 2009-02-25
Frequently asked questions
- What is Shasta Lake Physical Therapy's NPI number?
- Shasta Lake Physical Therapy's National Provider Identifier (NPI) is 1255376893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shasta Lake Physical Therapy?
- Shasta Lake Physical Therapy is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Shasta Lake Physical Therapy located?
- Shasta Lake Physical Therapy's practice location on file with NPPES is 5061 Shasta Dam Blvd, Shasta Lake, CA 96019-9422.
- What is Shasta Lake Physical Therapy's phone number?
- The practice phone number listed in the NPPES registry for Shasta Lake Physical Therapy is (530) 275-0777.
- Does Shasta Lake Physical Therapy accept Medicare?
- Shasta Lake Physical Therapy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shasta Lake Physical Therapy?
- The authorized official listed on Shasta Lake Physical Therapy's NPPES record is Donald Baas, Co-Owner / Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shasta Lake Physical Therapy's NPI active?
- Yes — Shasta Lake Physical Therapy's NPI (1255376893) is active in the NPPES registry as of the last update on 2009-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.