Individual provider Active NPI

Daniel R. Shea, PT

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1093735060
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1031755 Issued in TX
Practice address
5440 Everhart Rd
St 1
Corpus Christi, TX 78411-4838
Phone
(361) 994-5224
Fax
(361) 992-1933
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 1031755 TX Primary

Addresses

Primary practice location

5440 Everhart Rd
St 1
Corpus Christi, TX 78411-4838

Mailing address

5440 Everhart Rd
St 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117001673 TX Practitioner - Physical Therapist in Private Practice 8123286036 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1031755TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shea Physical Therapy P C Physical Therapist Current Accepting new patients
Shea Physical Therapy PC Current Accepting new patients
Shea Physical Therapy Specialists LLC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

5440 Everhart Rd
Ste 1
Corpus Christi, TX 78411
Phone (361) 992-1435

Organizations & group practices 3

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1093735060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 EVERHART RD",
            "address_2": "ST 1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114838",
            "telephone_number": "361-994-5224",
            "fax_number": "361-992-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 EVERHART RD",
            "address_2": "ST 1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114838",
            "telephone_number": "361-994-5224",
            "fax_number": "361-992-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "DANIEL",
        "middle_name": "R.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1031755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.