Individual provider Active NPI

Rodney K Shorey, P.T.

  • Physical Therapist
  • Woodland Hills, CA
National Provider Identifier
1154420610
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22462 Issued in CA
Practice address
22151 Clarendon St
Woodland Hills, CA 91367-6308
Phone
(818) 884-4810
Fax
(818) 884-4802
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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 PT22462 CA Primary

Addresses

Primary practice location

22151 Clarendon St
Woodland Hills, CA 91367-6308

Mailing address

22151 Clarendon St
Woodland Hills, CA 91367-6308
Phone (818) 884-4810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061117000484 CA Practitioner - Physical Therapist in Private Practice 8022016476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rodney K Shorey Physical Therapy Services IncGroup PAC ID 3577561927, 3 clinicians

Practice addresses (Care Compare)

22151 Clarendon St
Woodland Hills, CA 91367-6308
Phone (818) 884-4810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT22462CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rodney K. Shorey Physical Therapy Services, Inc. Physical Therapist CurrentSince Sep 20, 2006 Accepting new patients

Locations

22151 Clarendon St
Woodland Hls, CA 91367
Phone (818) 884-4810

Organizations & group practices 1

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1154420610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22151 CLARENDON ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676308",
            "telephone_number": "818-884-4810",
            "fax_number": "818-884-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22151 CLARENDON ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676308",
            "telephone_number": "818-884-4810",
            "fax_number": "818-884-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOREY",
        "first_name": "RODNEY",
        "middle_name": "K",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.