NPIMap

Organization Active NPI

Accelerate Physical Therapy, PC

  • Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1104301258
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACCELERATE PHYSICAL THERAPY, PC
Practice address
1600 Dove St Ste 100
Newport Beach, CA 92660-2438
Phone
(949) 502-3388
Fax
(949) 502-3304
NPI assigned
Sep 25, 2018
Last updated
Dec 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Shawn Jeffrey Mead, DPTNPI 1649608357
Title
Owner, Director, Managing Partner
Phone
(949) 502-3388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1600 Dove St Ste 100
Newport Beach, CA 92660-2438

Mailing address

1600 Dove St Ste 100
Newport Beach, CA 92660-2438
Phone (949) 502-3388

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181030001176 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577816008 Receives reassigned benefits from 8 practitioners
Practice locations: Newport Beach, CA; Solvang, CA

National Provider Directory

National Provider Directory

Locations

2029 Village Ln
Ste 106
Solvang, CA 93463
Phone (805) 686-1934

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1104301258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DOVE ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602438",
            "telephone_number": "949-502-3388",
            "fax_number": "949-502-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DOVE ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602438",
            "telephone_number": "949-502-3388",
            "fax_number": "949-502-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER, DIRECTOR, MANAGING PARTNER",
        "authorized_official_telephone_number": "949-502-3388",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.