Mt. Shasta Physical Therapy, Inc.
NPI 1417098070 · Physical Therapist · Mount Shasta, CA
Mt. Shasta Physical Therapy, Inc. is a Physical Therapist organization in Mount Shasta, CA (NPI 1417098070).
Provider details
- NPI number
- 1417098070
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Koehler, Billing Mgr(530) 926-6010
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
19 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
- 2007-02-08
- Last updated
- 2015-04-22
Frequently asked questions
- What is Mt. Shasta Physical Therapy, Inc.'s NPI number?
- Mt. Shasta Physical Therapy, Inc.'s National Provider Identifier (NPI) is 1417098070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mt. Shasta Physical Therapy, Inc.?
- Mt. Shasta Physical Therapy, Inc. is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mt. Shasta Physical Therapy, Inc. located?
- Mt. Shasta Physical Therapy, Inc.'s practice location on file with NPPES is 633 Lassen Ln, Mount Shasta, CA 96067-9002.
- What is Mt. Shasta Physical Therapy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mt. Shasta Physical Therapy, Inc. is (530) 926-6010.
- Who is the authorized official for Mt. Shasta Physical Therapy, Inc.?
- The authorized official listed on Mt. Shasta Physical Therapy, Inc.'s NPPES record is Lisa Koehler, Billing Mgr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mt. Shasta Physical Therapy, Inc.'s NPI active?
- Yes — Mt. Shasta Physical Therapy, Inc.'s NPI (1417098070) is active in the NPPES registry as of the last update on 2015-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.