Active NPI
Roxanne Shaw, PT, DPT
- Physical Therapist
- Reseda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 304531
- Practice address
- 18039 Sherman Way
Reseda, CA 91335-4630 - Phone
- (818) 343-4303
- NPI assigned
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 304531 | CA | Primary |
Addresses
Primary practice location
18039 Sherman Way
Reseda, CA 91335-4630
Mailing address
25115 Avenue Stanford Ste B135
Valencia, CA 91355-1290
Phone (661) 250-9940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175
3425 W Victory Blvd
Burbank, CA 91505-1545
Phone (661) 947-9977
Merit-based Incentive Payment System (MIPS)
- Final score
- 61.07 of 100
- Quality
- 51.37
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304531 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vargo Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Vargo Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Vargo Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
3425 W Victory Blvd
Burbank, CA 91505
Phone (818) 955-8855
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
11225 Tampa Ave
Porter Ranch, CA 91326
Phone (818) 363-9970
18039 Sherman Way
Reseda, CA 91335
Phone (818) 708-8100
25115 Avenue Stanford
Ste B135
Valencia, CA 91355
Phone (661) 250-9940
25115 Avenue Stanford
#B135
Valencia, CA 91355
7320 Woodlake Ave
Ste 140
West Hills, CA 91307
Phone (818) 638-9639
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 and National Provider Directory roles.
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapist
- Santa Clarita, CA
- NPI 1811910797
-
- Physical Therapist
- Burbank, CA
- NPI 1104316827
-
- Physical Therapist
- Northridge, CA
- NPI 1386768539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1316620396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25115 AVENUE STANFORD STE B135",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551290",
"telephone_number": "661-250-9940",
"fax_number": "991-250-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18039 SHERMAN WAY",
"city": "RESEDA",
"state": "CA",
"postal_code": "913354630",
"telephone_number": "818-343-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "ROXANNE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "304531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.