Shawna Crescenzo, MSPT, OCS, CPI

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

27880 Issued in CA

Practice address

910 Camino del Mar Ste G
Del Mar, CA 92014-2800

Phone

(858) 792-1124

Fax

(858) 792-7775

NPI assigned

Feb 7, 2014

Sex

Female

Sole proprietor

No

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.

• Del Mar Village Physical Therapy Inc.

  • Physical Therapist
  • Del Mar, CA
  • NPI 1447958350
  NPD (past)
• Zenergy Physical Therapy, Inc

  • Orthopedic Physical Therapist
  • Del Mar, CA
  • NPI 1366710923

  Physical Therapist

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2014.

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1154745396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CAMINO DEL MAR STE G",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142800",
            "telephone_number": "858-792-1124",
            "fax_number": "858-792-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 CAMINO DEL MAR STE G",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142800",
            "telephone_number": "858-792-1124",
            "fax_number": "858-792-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESCENZO",
        "first_name": "SHAWNA",
        "credential": "MSPT, OCS, CPI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27880",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "27880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Corley Lillie, DPT
• Mallory Wade Corley, DPT
• Hannah Olivia Courter
• Craig a Brown MD Inc
• Kayva Lauren Crawford
• Dana Fillmore, Psy.D., a Professional Psychology Corporation
• John D. Daniels, PH.D.
• Jordan Delight Danly, LMFT
• Samantha Daoud, OD
• Holly Dasghaib, MD

• All providers in Del Mar, CA
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.