Shayna Alexis Wilner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

42997 Issued in CA

Practice address

9852 Business Park Dr
Sacramento, CA 95827-1709

Phone

(916) 362-7962

NPI assigned

Aug 28, 2015

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

Other names 1

• Shayna Alexis Richman Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mac Performance Physical Therapy IncGroup PAC ID 7810365608, 15 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.

• Mac Performance Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Folsom, CA
  • NPI 1366162950
  Medicare reassignment Care Compare group NPD
• Burger Physical Therapy and Rehabilitation Agency Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Folsom, CA
  • NPI 1457333908
  NPD (past)

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1235506973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9852 BUSINESS PARK DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271709",
            "telephone_number": "916-362-7962",
            "fax_number": "951-506-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9852 BUSINESS PARK DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271709",
            "telephone_number": "916-362-7962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25495 Medical Center Dr",
            "address_2": "Ste. 304",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925624902",
            "country_code": "US",
            "telephone_number": "951-696-7474",
            "fax_number": "951-696-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILNER",
        "first_name": "SHAYNA",
        "middle_name": "ALEXIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYNA",
            "last_name": "RICHMAN",
            "middle_name": "ALEXIS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Javonte Wills
• Cynthia Willsmore, LMFT
• Abigail Willson Willson
• Joshua Irving Wilner, M.D.
• Michael Wilner
• Barth L. Wilsey, M.D.
• Daniel Ferron Wilsey
• Wilson Marriage and Family Therapy Corporation
• Kathrine Wilson Smith, LCSW
• Melissa Dawn Wilson-Sanborn, PSYD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.