GOLDEN STATE PHYSICAL THERAPY INC; NPI #1114909629

Contact Information

GOLDEN STATE PHYSICAL THERAPY INC

565 BRUNSWICK RD
GRASS VALLEY, CA 95945-9392

Phone: 530-273-4152
Fax: 530-273-4153
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Hand	225XH1200X	67	Occupational Therapist in Private Practice
Occupational Therapist	225X00000X	67	Occupational Therapist in Private Practice
Physical Therapist	225100000X	65	Physical Therapist in Private Practice

Indicates primary specialty

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NPI Profile & details for GOLDEN STATE PHYSICAL THERAPY INC

NPI Number 1114909629

LBN Legal business name GOLDEN STATE PHYSICAL THERAPY INC

Authorized official ANNE LASSON - (VICE PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/18/2005

Last updated 09/11/2025 - About 9 months ago

Identifiers

	Other	ZZ08937Z	BLUE SHIELD
	Other	102476	FIRST HEALTH

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GOLDEN STATE PHYSICAL THERAPY INC

Contact Information

Specialty

Hand

Occupational Therapist

Physical Therapist

NPI Profile & details for GOLDEN STATE PHYSICAL THERAPY INC

Reviews for GOLDEN STATE PHYSICAL THERAPY INC