Individual provider Active NPI

Shana Kaye Furr

  • Physical Rehabilitation Occupational Therapist
  • Tracy, CA
National Provider Identifier
1255611174
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
9990 Issued in CA
Practice address
2586 Buthmann Ave
Tracy, CA 95376-2165
Phone
(209) 832-2273
NPI assigned
Aug 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 9990 CA Primary

Addresses

Primary practice location

2586 Buthmann Ave
Tracy, CA 95376-2165

Mailing address

15850 Rancho Verde CT
Tracy, CA 95304-9760
Phone (209) 836-1997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1255611174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15850 RANCHO VERDE CT",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953049760",
            "telephone_number": "209-836-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2586 BUTHMANN AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762165",
            "telephone_number": "209-832-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURR",
        "first_name": "SHANA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "9990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.