BAY AREA SPINE & SPORT, INC (NPI# 1316930076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316930076 |
| Entity Type | Organization |
| Organization Name | BAY AREA SPINE & SPORT, INC |
| Other Organization Name | SANTA ROSA SPINE & SPORT |
| Practice Address |
1801 Cleveland Ave Suite B Santa Rosa CA 95401-4297 |
| Mailing Address |
3444 Kearny Villa Rd Suite 200 San Diego CA 92123-1959 |
| Practice Telephone | 7075264180 |
| Practice Fax Number | 7075264152 |
| Mailing Telephone | 8882088526 |
| Mailing Fax Number | 8587510901 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2010-11-15 |
| Authorized Official Name | JOE L. VERNA (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8882088526 |
| Authorized Official Credential | DC |
| Is Organization Subpart | Y |
| Parent Organization Name | MDRS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251E1200X |
Physical Therapist Specialization: Ergonomics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251E1300X |
Physical Therapist Specialization: Electrophysiology, Clinical |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251H1200X |
Physical Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| SANTA ROSA SPINE & SPORT | Doing Business As Name - Organization |
| Street Address |
1801 CLEVELAND AVE SUITE B |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265494132 | Patrick Dalton | Physical Therapist | 1801 Cleveland Ave, #b, Santa Rosa, CA 95401-4297 | 2006-04-05 |
| 1851351209 | Kathleen Dalton | Physical Therapist | 1801 Cleveland Ave, #b, Santa Rosa, CA 95401-4297 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209322 | Benjamin Robert Baumgardner | Physical Therapist | 5524 Marit Dr, Santa Rosa, CA 95409-3829 | 2020-03-03 |
| 1477100899 | Kendal Kagawa | Physical Therapist | 3975 Old Redwood Hwy Ste 154, Santa Rosa, CA 95403-1719 | 2019-08-20 |
| 1184285991 | David Simmons | Physical Therapist | 3975 Old Redwood Hwy Ste 152, Santa Rosa, CA 95403-1719 | 2019-06-23 |
| 1891268207 | Ronald Charles Mcdowell | Physical Therapist | 503 Benicia Dr, Santa Rosa, CA 95409-3005 | 2019-01-08 |
| 1285105106 | Thad Summary | Physical Therapist | 2054 Marble St, Santa Rosa, CA 95407-5446 | 2018-12-17 |
| 1326548322 | Katherine E Cerico | Physical Therapist | 1972 Historic Route 66, Santa Rosa, NM 88435 | 2018-02-15 |
| 1508383324 | Active Rehab, LLC | Physical Therapist | 2520 Horseshoe Dr, Santa Rosa, CA 95405-8144 | 2017-08-23 |
| 1659822583 | Elisabeth Friedeman | Physical Therapist | 1121 Slater St, Santa Rosa, CA 95404-3328 | 2016-10-14 |
| 1831561349 | Kumaraguru Kareesan | Physical Therapist | 3857 Montgomery Dr, Santa Rosa, CA 95405-5244 | 2015-10-22 |
| 1669848016 | William Andrew Kesler | Physical Therapist | 140 Wikiup Dr, Santa Rosa, CA 95403-7756 | 2015-08-19 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.