Individual provider Active NPI

Shannon M. McGann, PT

  • Physical Therapist
  • Redwood City, CA
National Provider Identifier
1255672762
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT187080 Issued in CA
Practice address
363A Main St
Redwood City, CA 94063-1729
Phone
(650) 599-9482
Fax
(650) 599-9788
NPI assigned
Mar 7, 2013
Last updated
Jul 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT187080 CA Primary
Physical Therapist 225100000X 18780 CA

Addresses

Primary practice location

363A Main St
Redwood City, CA 94063-1729

Mailing address

363A Main St
Redwood City, CA 94063-1729
Phone (650) 599-9482

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130903000809 CA Practitioner - Physical Therapist in Private Practice 4385887710 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Tobias Physical Therapy Inc.Group PAC ID 7517009053, 5 clinicians
M. Turner, Inc.Group PAC ID 1254471691, 4 clinicians

Practice addresses (Care Compare)

1225 Crane St
Suite 105
Menlo Park, CA 94025-4253
Phone (650) 323-3001

800 S Claremont St
Suite 106
San Mateo, CA 94402-1449
Phone (650) 224-5660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18780CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tobias Physical Therapy Inc. Physical Therapist CurrentSince Jun 1, 2019 Accepting new patients
Star Physical Therapy Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Hand Rehab Associates, Inc. PastSince Jul 17, 2013 Accepting new patients

Locations

1225 Crane St
Ste 105
Menlo Park, CA 94025
Phone (650) 323-3001

1779 Woodside Rd
Ste 102
Redwood City, CA 94061
Phone (650) 780-9700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1255672762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363A MAIN ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631729",
            "telephone_number": "650-599-9482",
            "fax_number": "650-599-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363A MAIN ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631729",
            "telephone_number": "650-599-9482",
            "fax_number": "650-599-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGANN",
        "first_name": "SHANNON",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT187080",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "18780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.