Active NPI
Richard Shen, DPT
- Physical Therapist
- Long Beach, CA
National Provider Identifier
1477515559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32477
- Practice address
- 388 E Ocean Blvd
#305
Long Beach, CA 90802-5252 - Phone
- (310) 800-7436
- NPI assigned
- Apr 4, 2006
- 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 | 32477 | CA | Primary |
Addresses
Primary practice location
388 E Ocean Blvd
#305
Long Beach, CA 90802-5252
Mailing address
388 E Ocean Blvd
#305
Long Beach, CA 90802-5252
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": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1477515559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 E OCEAN BLVD",
"address_2": "#305",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908025252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 E OCEAN BLVD",
"address_2": "#305",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908025252",
"telephone_number": "310-800-7436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEN",
"first_name": "RICHARD",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "32477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.