Jack M. Shano, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3035 Issued in CA

Practice address

23067 Ventura Blvd Ste a
Woodland Hills, CA 91364-1150

Phone

(818) 223-9985

Fax

(818) 223-9986

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fitness Philosophy, LLC

  • Physical Therapist
  • Woodland Hills, CA
  • NPI 1043230527
  Medicare reassignment NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407879265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23067 VENTURA BLVD STE A",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641150",
            "telephone_number": "818-223-9985",
            "fax_number": "818-223-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23067 VENTURA BLVD STE A",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641150",
            "telephone_number": "818-223-9985",
            "fax_number": "818-223-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANO",
        "first_name": "JACK",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT3035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PT3035",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shahryar Barzegar Consulting Pharmacist Inc
• Emma Shalaby
• Homan Shamoeil, D.D.S.
• Mano Shanaa, M.D.
• Tiffany C. Shanks, M.A.
• Amanda Shapiro
• Casey Shapiro
• Kylie Sharfner
• Maryam Sharifi, MD
• Adipt Sharma

• Physical Therapist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.