| Western Physical Therapy, Inc. | |
|
844 Bridge St, Suite C, Colusa, CA 95932-2836 | |
| (530) 458-7770 | |
| (530) 458-7735 |
| Full Name | Western Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 844 Bridge St, Colusa, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740216332 | NPI | - | NPPES |
| GPT001010 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0000001948 (California) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | James G Earle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235210501 PECOS PAC ID: 9638076391 Enrollment ID: I20031222000910 |
| Provider Name | Todd E Wood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073541140 PECOS PAC ID: 8022007525 Enrollment ID: I20040521000859 |
| Provider Name | Brian S Baas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730127432 PECOS PAC ID: 3173508702 Enrollment ID: I20050104000916 |
| Provider Name | Donald R Baas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245268317 PECOS PAC ID: 1153223607 Enrollment ID: I20050104000947 |
| Provider Name | Mark Ashley Mccoy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366541740 PECOS PAC ID: 0345148243 Enrollment ID: I20060302000272 |
| Provider Name | Jonathan M Royce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811925985 PECOS PAC ID: 3375553126 Enrollment ID: I20060425000304 |
| Provider Name | Kimberli A Woodard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811057698 PECOS PAC ID: 8527069855 Enrollment ID: I20070129000572 |
| Provider Name | Jeffrey R Howell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851493274 PECOS PAC ID: 9537260153 Enrollment ID: I20070726000755 |
| Provider Name | Garret Gheen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356396642 PECOS PAC ID: 8123107299 Enrollment ID: I20080501000232 |
| Provider Name | Lisa M Boyan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679683338 PECOS PAC ID: 3870630924 Enrollment ID: I20100322000223 |
| Provider Name | Jan M Richards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568520989 PECOS PAC ID: 6406004720 Enrollment ID: I20120912000047 |
| Provider Name | Jeremy W Knedel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538405881 PECOS PAC ID: 1759536022 Enrollment ID: I20130313000190 |
| Provider Name | John J Kvale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336379874 PECOS PAC ID: 4183760325 Enrollment ID: I20130820000241 |
| Provider Name | Gillian J Barbaria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619379922 PECOS PAC ID: 0143442558 Enrollment ID: I20141118002684 |
| Provider Name | Matthew Bennion |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457743239 PECOS PAC ID: 8426377045 Enrollment ID: I20150504001574 |
| Provider Name | Samuel L Iqbal-hofmeister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831598762 PECOS PAC ID: 7517277460 Enrollment ID: I20151105001843 |
| Provider Name | Kevin S Elo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801841630 PECOS PAC ID: 5890724058 Enrollment ID: I20151116000691 |
| Provider Name | Anthony S Gravin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649640988 PECOS PAC ID: 7911204391 Enrollment ID: I20160629001815 |
| Provider Name | Ryan V Troll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477008035 PECOS PAC ID: 6901184365 Enrollment ID: I20161107000311 |
| Provider Name | Paul Robert Doucot |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881123560 PECOS PAC ID: 6608145206 Enrollment ID: I20170712002769 |
| Provider Name | Rachel K Lange |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538687769 PECOS PAC ID: 7618233511 Enrollment ID: I20171109000860 |
| Provider Name | Alicia M Terwilliger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043728116 PECOS PAC ID: 5991043630 Enrollment ID: I20190205002019 |
| Provider Name | Breanna Maree Duso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669035002 PECOS PAC ID: 4385977016 Enrollment ID: I20190611002716 |
| Provider Name | Bethany Jutzy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134523491 PECOS PAC ID: 0345551594 Enrollment ID: I20190819002088 |
| Provider Name | Alex Davies |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356824452 PECOS PAC ID: 5496009235 Enrollment ID: I20191216000933 |
| Provider Name | Melissa D Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336574854 PECOS PAC ID: 1759519960 Enrollment ID: I20200205002551 |
| Provider Name | Caleb Miraglia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952948028 PECOS PAC ID: 6204263882 Enrollment ID: I20200309002139 |
| Provider Name | Crystal Y Cassell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871965228 PECOS PAC ID: 8325341480 Enrollment ID: I20200401001605 |
| Provider Name | Glenn S Cassell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366814717 PECOS PAC ID: 3072815422 Enrollment ID: I20200404000047 |
| Provider Name | Erin M Davids |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831708742 PECOS PAC ID: 5395163000 Enrollment ID: I20200910000838 |
| Provider Name | Stephen R Davids |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144839366 PECOS PAC ID: 5890113278 Enrollment ID: I20200916003162 |
| Provider Name | Angela E Heintz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275141582 PECOS PAC ID: 9234559964 Enrollment ID: I20201020000432 |
| Provider Name | Justin D Hahn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124638473 PECOS PAC ID: 2365853900 Enrollment ID: I20201202002763 |
| Provider Name | Kelsey J Vanderlaan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225488638 PECOS PAC ID: 1355632951 Enrollment ID: I20210106001344 |
| Provider Name | Erich N Funke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144680463 PECOS PAC ID: 2567733686 Enrollment ID: I20210119002786 |
| Provider Name | Katherine D Ambrosia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700253689 PECOS PAC ID: 7911215314 Enrollment ID: I20210215000620 |
| Provider Name | Jacquelyn B Leslie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588144406 PECOS PAC ID: 9537412390 Enrollment ID: I20210518002797 |
| Provider Name | Jaren L Warren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518036474 PECOS PAC ID: 7911960422 Enrollment ID: I20210629000887 |
| Provider Name | Erin P Baas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922574789 PECOS PAC ID: 4284035833 Enrollment ID: I20210702000845 |
| Provider Name | Cassidy Gausman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770256885 PECOS PAC ID: 4082019922 Enrollment ID: I20210816003100 |
| Provider Name | Cody J Jacks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669148391 PECOS PAC ID: 6800294059 Enrollment ID: I20211001002687 |
| Provider Name | Andrea R Boatwright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801550850 PECOS PAC ID: 0648660480 Enrollment ID: I20211209000872 |
| Provider Name | Christopher Evan Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669148052 PECOS PAC ID: 6103217856 Enrollment ID: I20220106002281 |
| Provider Name | Jennifer N Lichti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013554989 PECOS PAC ID: 6800221573 Enrollment ID: I20220908001491 |
| Provider Name | Cory Stattelman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457966293 PECOS PAC ID: 3476971896 Enrollment ID: I20230427002094 |
| Provider Name | Mina Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285411405 PECOS PAC ID: 5395194989 Enrollment ID: I20231207002735 |
| Provider Name | Maria Ricalton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538809744 PECOS PAC ID: 6406243088 Enrollment ID: I20240213003428 |
| Provider Name | Dave H Topiwala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104605617 PECOS PAC ID: 1254777311 Enrollment ID: I20240311004072 |
| Provider Name | Alice Hajdu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417421702 PECOS PAC ID: 7315384708 Enrollment ID: I20240320004162 |
| Provider Name | Elizabeth Veilleux |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417612482 PECOS PAC ID: 1052700986 Enrollment ID: I20240408000383 |
| Provider Name | Andrew Alto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275374613 PECOS PAC ID: 3476099433 Enrollment ID: I20240725003773 |
| Provider Name | Travis Urban |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043642390 PECOS PAC ID: 2163703042 Enrollment ID: I20240930001309 |
| Provider Name | Caden Durham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154009033 PECOS PAC ID: 9830622323 Enrollment ID: I20241022004696 |
| Provider Name | Briana Fellows |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972907764 PECOS PAC ID: 7618386491 Enrollment ID: I20241115000151 |
| Provider Name | Angela N Davini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285469239 PECOS PAC ID: 5597290585 Enrollment ID: I20241127003167 |
| Provider Name | Danielle E Meza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245985571 PECOS PAC ID: 1355709114 Enrollment ID: I20250327001241 |
| Provider Name | Ronald D Meza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285151498 PECOS PAC ID: 8224562996 Enrollment ID: I20250327001425 |
| Mailing Address | Practice Location Address |
|---|---|
| Western Physical Therapy, Inc. Po Box 493396, Redding, CA 96049-3396 Ph: (530) 221-9952 | Western Physical Therapy, Inc. 844 Bridge St, Suite C, Colusa, CA 95932-2836 Ph: (530) 458-7770 |