Individual provider Active NPI

Shannon Elizabeth Hill, PT MPT

  • Physical Therapist
  • Aliso Viejo, CA
National Provider Identifier
1194768036
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23491 Issued in CA
Practice address
26800 Aliso Viejo Pkwy Ste 130
Aliso Viejo, CA 92656-2607
Phone
(949) 716-4548
Fax
(949) 271-2311
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT 23491 CA
Physical Therapist 225100000X 23491 CA Primary

Addresses

Primary practice location

26800 Aliso Viejo Pkwy Ste 130
Aliso Viejo, CA 92656-2607

Mailing address

26800 Aliso Viejo Pkwy Ste 130
Aliso Viejo, CA 92656-2607
Phone (949) 716-4548

Other practice location 1

27881 La Paz Rd
Suite G262
Laguna Niguel, CA 92677-3933
Phone (714) 281-0169

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040218000759 CA Practitioner - Physical Therapist in Private Practice 1153216148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intecore IncGroup PAC ID 2769588698, 4 clinicians

Practice addresses (Care Compare)

26800 Aliso Viejo Pkwy
Suite 130
Aliso Viejo, CA 92656-2607
Phone (949) 716-4548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 23491CAMDGeriatric Physical Therapist
23491CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Intecore, Inc. Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
Richards Physical Therapy Inc Physical Therapist PastSince Jun 1, 2021 Accepting new patients
JM Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

26800 Aliso Viejo Pkwy
Ste 130
Aliso Viejo, CA 92656
Phone (949) 716-4548

26741 Portola Pkwy
#1E630
Foothill Ranch, CA 92610
Phone (949) 597-2103

26700 Towne Centre Dr
Ste 120
Foothill Rnch, CA 92610
Phone (949) 597-2103

Organizations & group practices 3

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1194768036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26800 ALISO VIEJO PKWY STE 130",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562607",
            "telephone_number": "949-716-4548",
            "fax_number": "949-271-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 ALISO VIEJO PKWY STE 130",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562607",
            "telephone_number": "949-716-4548",
            "fax_number": "949-271-2311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27881 La Paz Rd",
            "address_2": "Suite G262",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926773933",
            "country_code": "US",
            "telephone_number": "714-281-0169",
            "fax_number": "714-281-2238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "credential": "PT MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT 23491",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "23491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

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