| Mr James G Earle, MPT, CSCS | |
|
5061 Shasta Dam Blvd, Shasta Lake, CA 96019-9405 | |
| (530) 275-0777 | |
| (530) 275-8779 |
| Full Name | Mr James G Earle |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 27 Years |
| Location | 5061 Shasta Dam Blvd, Shasta Lake, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235210501 | NPI | - | NPPES |
| PT0184300 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT23572 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shasta Lake Physical Therapy | 1557304896 | 3 |
| Baas And Wood Physical Therapy Services Inc | 7810302999 | 6 |
| Provider Name | Western Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1740216332 PECOS PAC ID: 8022076348 Enrollment ID: O20050103000515 |
| Provider Name | Shasta Lake Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1255376893 PECOS PAC ID: 1557304896 Enrollment ID: O20050607000966 |
| Provider Name | Baas & Wood Physical Therapy Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1477627594 PECOS PAC ID: 7810302999 Enrollment ID: O20210223002343 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James G Earle, MPT, CSCS Po Box 493396, Redding, CA 96049-3396 Ph: (530) 221-9952 | Mr James G Earle, MPT, CSCS 5061 Shasta Dam Blvd, Shasta Lake, CA 96019-9405 Ph: (530) 275-0777 |
Jennifer Lynn Ratliff, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4216 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-0777 Fax: 530-275-8779 | |
Stephen Davids, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5061 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-0777 | |
Donald Roy Baas, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5061 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-0777 Fax: 530-275-8779 | |
Shasta Lake Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 5061 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-0777 Fax: 530-275-8779 | |
Erin Marie Baas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5061 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-0777 Fax: 530-275-8779 | |
Ryan Vaughn Troll, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5061 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-0777 |