Individual provider Active NPI

Shelly Constance Scarborough

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1295235158
Registry record updated Feb 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293805 Issued in CA
Practice address
400 Parnassus
Box 0228
San Francisco, CA 94143-0228
Phone
(415) 353-1756
NPI assigned
Feb 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 293805 CA Primary

Addresses

Primary practice location

400 Parnassus
Box 0228
San Francisco, CA 94143-0228

Mailing address

1575 26TH Ave
San Francisco, CA 94122-3217

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

State licenses

LicenseStateTypeSpecialty
293805CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518825600000",
    "number": "1295235158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 26TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARNASSUS",
            "address_2": "BOX 0228",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430228",
            "telephone_number": "415-353-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBOROUGH",
        "first_name": "SHELLY",
        "middle_name": "CONSTANCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-17",
        "last_updated": "2018-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2018; 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.