SHASTA LAKE PHYSICAL THERAPY
NPI 1255376893
Physical Therapist in Shasta Lake, CA
About Shasta Lake Physical Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHASTA LAKE PHYSICAL THERAPY (NPI 1255376893) is a healthcare organization registered as a physical therapist in Shasta Lake, California and active in the NPI registry since June 2006. The organization lists Donald Roy Baas, Co-owner / Physical Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shasta Lake Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Shasta Lake Physical Therapy, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shasta Lake Physical Therapy's NPI number?
The NPI number for Shasta Lake Physical Therapy is 1255376893. It was assigned to this organization in the NPPES registry on June 18, 2006.
Where is Shasta Lake Physical Therapy located?
Shasta Lake Physical Therapy is located at 5061 Shasta Dam Blvd, Shasta Lake, CA 96019. The listed phone number is (530) 275-0777.
What is Shasta Lake Physical Therapy's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Shasta Lake Physical Therapy enrolled in Medicare?
Yes. Shasta Lake Physical Therapy is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shasta Lake Physical Therapy?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Shasta Lake Physical Therapy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shasta Lake Physical Therapy was last updated on February 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shasta Lake Physical Therapy · NPI 1255376893
Physical Therapist organization in Shasta Lake, California. Organization record, active in the CMS NPPES registry since June 18, 2006.
## Identity
- **NPI:** 1255376893 (Entity type: Organization)
- **Enumerated:** June 18, 2006
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** Donald Baas, CO-OWNER / PHYSICAL THERAPIST
## Practice location
- **Address:** 5061 SHASTA DAM BLVD, Shasta Lake, CA 96019-9422
- **Phone:** (530) 275-0777 · **Fax:** (530) 275-8779
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 5 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2009
- **Other identifiers:** Medicare ID-Type Unspecified ZZZ17855Z (CA); Medicaid GPT1000840 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1255376893) · Data from the CMS NPPES public registry.