Individual provider Active NPI

Sheila Develos Espina, D.P.T.

  • Physical Therapist
  • Laguna Hills, CA
National Provider Identifier
1437475886
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33000 Issued in CA
Practice address
24422 Avenida de la Carlota
Suite 190
Laguna Hills, CA 92653-7602
Phone
(949) 340-6927
Fax
(949) 215-7246
NPI assigned
Apr 9, 2010
Last updated
Feb 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT33000 CA Primary
Geriatric Physical Therapist 2251G0304X PT33000 CA

Addresses

Primary practice location

24422 Avenida de la Carlota
Suite 190
Laguna Hills, CA 92653-7602

Mailing address

24422 Avenida de la Carlota
Suite 190
Laguna Hills, CA 92653-7602
Phone (949) 340-6927

Other identifiers 2

IdentifierTypeStateIssuer
1508936626MedicaidCA
PT33000OtherCAPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1437475886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA",
            "address_2": "SUITE 190",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537602",
            "telephone_number": "949-340-6927",
            "fax_number": "949-215-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA",
            "address_2": "SUITE 190",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537602",
            "telephone_number": "949-340-6927",
            "fax_number": "949-215-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINA",
        "first_name": "SHEILA",
        "middle_name": "DEVELOS",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33000",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT33000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508936626",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT33000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.