Provider Demographics
NPI:1841211539
Name:REDWOOD THERAPY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:REDWOOD THERAPY SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEATE
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:831-722-9680
Mailing Address - Street 1:579 AUTO CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-3727
Mailing Address - Country:US
Mailing Address - Phone:831-722-9680
Mailing Address - Fax:831-724-9311
Practice Address - Street 1:579 AUTO CENTER DR
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-3727
Practice Address - Country:US
Practice Address - Phone:831-722-9680
Practice Address - Fax:831-724-9311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 011852225100000X
CAOT 2579225X00000X
CA9811000034225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACK3148OtherRAILROAD MEDICARE
CAZZZ04024ZOtherBLUE SHILD CA P.T. PIN
CAZZZ05774ZOtherBLUE SHIELD CA - OT PIN
CAZZZ05774ZOtherBLUE SHIELD CA - OT PIN