Shuree Gangloff Smock, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39976 Issued in CA

Practice address

200 E del Mar Blvd
Suite 302
Pasadena, CA 91105-2544

Phone

(626) 683-8236

Fax

(626) 683-8236

NPI assigned

Mar 1, 2013

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

• Shuree N/a Gangloff Former name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Boise, ID
  • NPI 1962133132

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Williamsburg, VA
  • NPI 1881366730

  Physical Therapist

  NPD
• Evergreen Physical Therapy Specialists, Inc

  • Physical Therapy Clinic/Center
  • Pasadena, CA
  • NPI 1346300670

  Physical Therapist

  NPD (past)
• Foothill Family Service - Hudson

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pasadena, CA
  • NPI 1336275056
  NPD (past)

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1316287246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50004",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911150004",
            "telephone_number": "626-683-8536",
            "fax_number": "626-683-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E DEL MAR BLVD",
            "address_2": "SUITE 302",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052544",
            "telephone_number": "626-683-8236",
            "fax_number": "626-683-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOCK",
        "first_name": "SHUREE",
        "middle_name": "GANGLOFF",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHUREE",
            "last_name": "GANGLOFF",
            "middle_name": "N/A",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Takia Smith
• Tammy Smith
• Tiffany Smith, PA-C
• Todd Andrew Smith, LCSW
• Tyson Scott Smith, PA-C
• Maya Smolarek, MD
• Laura Sneed, PA
• Elizabeth Snowden-Ifft, O.D.
• Amy Leanne Snyder
• Phillip D. Snyder, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.