Individual provider Active NPI

Shu Wei Chen, PT

  • Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1144090721
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT305428 Issued in CA
Practice address
2850 Artesia Blvd Ste 207
Redondo Beach, CA 90278-3413
Phone
(310) 371-4774
Fax
(310) 371-3453
NPI assigned
Jan 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 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 PT305428 CA Primary

Addresses

Primary practice location

2850 Artesia Blvd Ste 207
Redondo Beach, CA 90278-3413

Mailing address

2850 Artesia Blvd Ste 207
Redondo Beach, CA 90278-3413
Phone (310) 371-4774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501002678 CA Practitioner - Physical Therapist in Private Practice 2365882883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro-Health Physical Therapy Inc.Group PAC ID 3476581109, 7 clinicians

Practice addresses (Care Compare)

2850 Artesia Blvd
Suite 207
Redondo Beach, CA 90278-3413
Phone (310) 371-4774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT305428CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Health Physical Therapy Inc. Physical Therapist CurrentSince Jan 25, 2024 Accepting new patients
Kiley Chiropractic PastSince Jan 7, 2024 Accepting new patients

Locations

2850 Artesia Blvd
Ste 207
Redondo Beach, CA 90278
Phone (310) 371-4774

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1144090721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD STE 207",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783413",
            "telephone_number": "310-371-4774",
            "fax_number": "310-371-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD STE 207",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783413",
            "telephone_number": "310-371-4774",
            "fax_number": "310-371-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "SHU WEI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT305428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.