Shannon Gorman, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41936 Issued in CA

Practice address

227 N El Camino Real
Suite 103
Encinitas, CA 92024-2807

Phone

(760) 230-2316

NPI assigned

Nov 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Function for Life PT Inc

  • Preferred Provider Organization
  • Encinitas, CA
  • NPI 1811310170
  NPD (past)

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

{
    "created_epoch": "1416614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457740800000",
    "number": "1447657226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N EL CAMINO REAL",
            "address_2": "STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245821",
            "telephone_number": "760-205-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N EL CAMINO REAL",
            "address_2": "SUITE 103",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242807",
            "telephone_number": "760-230-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "SHANNON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-22",
        "last_updated": "2016-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Joshua Gonzalez
• Good Therapy San Diego
• Paula Jensen Goodfellow, CCC-SLP, MA
• Charlene May Goodman, MT
• Cynthia Goodwin
• Deborah Graefer, L.AC
• Phoebe Graham, ASW
• Joseph Granata III, MFT
• Susan Michele Granata, M.A., MFT
• Sally Jo Grauer, M.S.CCC-SPL

• Physical Therapist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2016; 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.