Sheilla Vidal, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27339 Issued in CA

Practice address

4266 Broadway
Oakland, CA 94611-5130

Phone

(510) 655-3060

Fax

(510) 655-2065

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthspark Medical Group West PCGroup PAC ID 6608385513, 9 clinicians

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Shasta Health Physical Therapy PCGroup PAC ID 1951750652, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD
• Healthspark Medical Group West PC

  • Physical Therapy Clinic/Center
  • San Jose, CA
  • NPI 1174338842
  Medicare reassignment Care Compare group NPD
• Shasta Health Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • San Francisco, CA
  • NPI 1063292241

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Flex Physical Therapy and Fitness

  • Physical Therapist
  • Oakland, CA
  • NPI 1689690836
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164509907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4266 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115130",
            "telephone_number": "510-655-3060",
            "fax_number": "510-655-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4266 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115130",
            "telephone_number": "510-655-3060",
            "fax_number": "510-655-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "SHEILLA",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Community Support Services, Inc.
• Amy Victorino, RDA
• Gregory P Victorino, M.D.
• Denis Cornelio Vidal, ASW
• Julienne Vidal
• Zoulanche Vidalon-Lozada
• Jules Vieaux, M.D.
• Dalena Viega, LVN
• Vanessa Vieira de Freitas
• Donald Allen Vieira

• Physical Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.