Rick Shon, PT, DPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

303249 Issued in CA

Practice address

6065 Meridian Ave Ste 70
San Jose, CA 95120-2772

Phone

(408) 927-0871

NPI assigned

Nov 22, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wayne Broberg, PT

  • Physical Therapist
  • San Jose, CA
  • NPI 1982793477
  Medicare reassignment
• Broberg Physical Therapy

  • Physical Therapist
  • San Jose, CA
  • NPI 1528170669
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1003525544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 MERIDIAN AVE STE 70",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202772",
            "telephone_number": "408-927-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 MERIDIAN AVE STE 70",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202772",
            "telephone_number": "408-927-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHON",
        "first_name": "RICK",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "303249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unknown Shobha
• Mahta Shokouhbakhsh
• Jeffrey Ryan Sholer, D.D.S.
• Bari Sholomon
• Karen Shomura
• Serena Shong, NP
• Devin Shoop
• Jill Shoopman
• Susan Shoreen
• Walter Eugene Shores, P.A-C

• Physical Therapy Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.