Brenda Shawley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

51033 Issued in CA

Practice address

240 Spruce St
Gridley, CA 95948-2216

Phone

(530) 846-9000

NPI assigned

Feb 9, 2021

Last updated

Feb 9, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1225620396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482216",
            "telephone_number": "530-846-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWLEY",
        "first_name": "BRENDA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "51033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isel Sandoval
• Sanjiv Midha MD a Medical Corporation a Professional Corporation (Gridley Children's Clinic)
• Joshua Brink Sannar, D.C.
• Jason Vernon Santibanez, CADC-II, ICADC, SAP
• Surinderpal Singh Sarai, PHARMD
• Amandpreet Shokar
• Manjinder Singh
• Suzanne Taylor Singson, FNP
• Kenneth Richard Skyberg, D.D.S.
• Janet Lee Smith, LMFT

• Physical Therapy Assistant in Gridley, CA
• Providers in Gridley, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.