Healthcare Provider Details

I. General information

NPI: 1841108990
Provider Name (Legal Business Name): WESTERN PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 N MT SHASTA BLVD STE A
MT SHASTA CA
96067
US

IV. Provider business mailing address

PO BOX 493396
REDDING CA
96049-3396
US

V. Phone/Fax

Practice location:
  • Phone: 530-918-8981
  • Fax:
Mailing address:
  • Phone: 530-221-9952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: BRIAN BAAS
Title or Position: PT, CFO
Credential: PT
Phone: 530-221-9952