Shift Physical Therapy & Performance Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SHIFT PHYSICAL THERAPY & PERFORMANCE INC

Practice address

308 W Line St Ste B
Bishop, CA 93514-3452

Phone

(760) 914-4401

NPI assigned

Jun 11, 2022

Organization subpart

No

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

Authorized official

Name

Andrea Dillon

Title

Ceo

Phone

(989) 860-8494

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654905600000",
    "number": "1134859374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W LINE ST STE B",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W LINE ST STE B",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143452",
            "telephone_number": "760-914-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFT PHYSICAL THERAPY & PERFORMANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-11",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-860-8494"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699007658",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801386651",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.pteverywhere.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "308 W Line St Ste B",
            "city": "Bishop",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935143452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Leigh Shambo, LPCC, LMHC
• Uttama Sharma, MD
• Katherine Irene Sheehan, PTA
• Danielle Shefet
• Alice A Sherbow
• Peggy Lee Shoemaker
• Tamia Shoshone
• Sierra Agape Couples, Family, and Individual Therapy, Prof. Corp.
• Sierra Aviation
• Sierra Bliss Counseling Licensed Clinical Social Worker Apc

• Physical Therapy Clinic/Center in Bishop, CA
• Providers in Bishop, 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 Jun 11, 2022; 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.