David Evan Shuey

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT 4120 Issued in CA

Practice address

1695 S.San Jacinto St.
Suite C
San Jacinto, CA 92583

Phone

(951) 288-1204

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Edge Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • San Jacinto, CA
  • NPI 1760503221
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013053040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DOLORES CT",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923745567",
            "telephone_number": "909-794-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 S.SAN JACINTO ST.",
            "address_2": "SUITE C",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "92583",
            "telephone_number": "951-288-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUEY",
        "first_name": "DAVID",
        "middle_name": "EVAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 4120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajul M Shah, D.D.S.
• Robert R Shelton, PSY.D.
• Alyssa Lynn Sherratt, CMPSS
• Gaurav Shinde
• Robyn Shirley
• Armando Dominguez Silva
• Khaleah Sims
• Tulin Sinjar, MD
• Matthew Siragusa
• SJ Medical Clinic/Urgent Care

• Physical Therapy Assistant in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.