Individual provider Active NPI

Shawn Erik Troutman, PT, DPT

  • Physical Therapist
  • Temecula, CA
National Provider Identifier
1346645090
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41991 Issued in CA
Practice address
28780 Single Oak Dr Ste 295
Temecula, CA 92590-5535
Phone
(951) 506-0200
Fax
(951) 506-0205
NPI assigned
Oct 23, 2014
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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 41991 CA Primary

Addresses

Primary practice location

28780 Single Oak Dr Ste 295
Temecula, CA 92590-5535

Mailing address

4055 Paso Oro Verde
Fallbrook, CA 92028-8913
Phone (951) 491-1156

Other practice location 1

3989 W Stetson Ave
Ste. 105
Hemet, CA 92545-9695
Phone (951) 652-3334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141222002339 CA Practitioner - Physical Therapist in Private Practice 5092038125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairbanks and Power Physical Therapy CorpGroup PAC ID 6406843481, 53 clinicians

Practice addresses (Care Compare)

25285 Madison Ave
Suite 103
Murrieta, CA 92562-8955
Phone (951) 600-0054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41991CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks & Power Physical Therapy Corp. Physical Therapist CurrentSince Aug 3, 2022 Accepting new patients

Locations

949 S State St
Hemet, CA 92543
Phone (951) 929-9890

2 Peters Canyon Rd
Ste 100
Irvine, CA 92606
Phone (949) 679-3988

25285 Madison Ave
Ste 103
Murrieta, CA 92562
Phone (909) 600-2990

28780 Single Oak Dr
Ste 295
Temecula, CA 92590
Phone (951) 506-0200

Organizations & group practices 1

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": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1346645090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 PASO ORO VERDE",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920288913",
            "telephone_number": "951-491-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28780 SINGLE OAK DR STE 295",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905535",
            "telephone_number": "951-506-0200",
            "fax_number": "951-506-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3989 W Stetson Ave",
            "address_2": "Ste. 105",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925459695",
            "country_code": "US",
            "telephone_number": "951-652-3334",
            "fax_number": "951-652-3335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROUTMAN",
        "first_name": "SHAWN",
        "middle_name": "ERIK",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.