Provider Demographics
NPI:1932239183
Name:REHABILITATION PHYSICAL THERAPY ASSOCIATES INC
Entity Type:Organization
Organization Name:REHABILITATION PHYSICAL THERAPY ASSOCIATES INC
Other - Org Name:RPT ASSOCIATES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PECK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:530-345-1368
Mailing Address - Street 1:250 COHASSET RD
Mailing Address - Street 2:SUITE 40
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2248
Mailing Address - Country:US
Mailing Address - Phone:530-345-1368
Mailing Address - Fax:530-343-2495
Practice Address - Street 1:250 COHASSET RD
Practice Address - Street 2:SUITE 40
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2248
Practice Address - Country:US
Practice Address - Phone:530-345-1368
Practice Address - Fax:530-343-2495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT125790174400000X
CAPT198270174400000X
CAPT270041174400000X
CAPT116270174400000X
CAPT237410174400000X
CAPT269900174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAR24557Medicare UPIN
CA0PT269900Medicare PIN
CA0PT125790Medicare PIN
CA0PT237410Medicare PIN
CAP53679Medicare UPIN
CAZZZ20174ZMedicare UPIN
CA0PT270041Medicare PIN
CAQ67080Medicare UPIN
CA0PT198270Medicare PIN