Active NPI
Shawn Erik Troutman, PT, DPT
- Physical Therapist
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 41991
- 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, 2022
- Sex
- Male
- 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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41991 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairbanks & Power Physical Therapy Corp. | Physical Therapist | Current | 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.
-
dba PacificPro Physical Therapy & Sports Medicine
- Physical Therapist
- Irvine, CA
- NPI 1912953936
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.