Individual provider Active NPI

William Sheehan, PT, DPT

  • Physical Therapist
  • Yorba Linda, CA
National Provider Identifier
1043813439
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299080 Issued in CA
Practice address
23655 Via del Rio Ste C
Yorba Linda, CA 92887-2718
Phone
(714) 695-1566
NPI assigned
Nov 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 299080 CA Primary

Addresses

Primary practice location

23655 Via del Rio Ste C
Yorba Linda, CA 92887-2718

Mailing address

23655 Via del Rio Ste C
Yorba Linda, CA 92887-2718
Phone (714) 695-1566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302000531 CA Practitioner - Physical Therapist in Private Practice 4688080559 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ignite Phyzio and Sports Performance IncGroup PAC ID 0042649584, 8 clinicians

Practice addresses (Care Compare)

2121 E Lambert Rd
Suite 306
La Habra, CA 90631-5768
Phone (714) 335-3182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Apr 4, 2022 Accepting new patients
Salinas Physical Therapy Sports Medicine PC CurrentSince Dec 27, 2020 Accepting new patients
Ignite Phyzio & Sports Performance Inc CurrentSince Nov 1, 2023 Accepting new patients
Physical Therapy of Newport, Inc. Physical Therapist PastSince May 16, 2002 Accepting new patients

Locations

2925 Airway Ave
Ste A
Costa Mesa, CA 92626
Phone (714) 335-3182

2121 E Lambert Rd
Ste 306
La Habra, CA 90631

811 E Lambert Rd
La Habra, CA 90631
Phone (562) 896-0129

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

747 Dover Dr
Newport Beach, CA 92663
Phone (714) 335-3182

23655 Via del Rio
Ste C
Yorba Linda, CA 92887
Phone 7146951566 ext. 71469

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1043813439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23655 VIA DEL RIO STE C",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928872718",
            "telephone_number": "714-695-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23655 VIA DEL RIO STE C",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928872718",
            "telephone_number": "714-695-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "WILLIAM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.