Shabeeba Pallickal Shafi, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 60293643 Issued in WA

Practice address

815 SE Klemgard St
Pullman, WA 99163-5430

Phone

(509) 334-9488

Fax

(509) 334-6819

NPI assigned

Jan 11, 2013

Last updated

Oct 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ida L Coryell HirstGroup PAC ID 5890761514, 7 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ida L Coryell Hirst

  • Physical Therapist
  • Pleasanton, CA
  • NPI 1861494031
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1447597323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 E FORT UNION BLVD",
            "address_2": "SUITE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216877",
            "telephone_number": "801-456-8409",
            "fax_number": "801-456-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SE KLEMGARD ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635430",
            "telephone_number": "509-334-9488",
            "fax_number": "509-334-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFI",
        "first_name": "SHABEEBA",
        "middle_name": "PALLICKAL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 60293643",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Semerjian, MS, ATC
• Kai Leo Seshiki, ATC
• Tyler Clay Sesnon, MS, LPC, MHCA
• Nicholas Whitney Sewell
• Sarah Grace Shaffer
• Tuarum N Shakir, MD
• Tiffany Sheely, MS, LMHC
• Anya Sheftel, PHD
• Maricarmen Stout Shields, M.D.
• Bethany Dawn Shin

• Physical Therapist in Pullman, WA
• Providers in Pullman, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.