Katherine Irene Sheehan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

47925 Issued in CA

Practice address

162 S Main St
Bishop, CA 93514-3415

Phone

(760) 872-2942

NPI assigned

May 29, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: katherine.sheehan@mammothhospital.cernerdirect.com

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.

• Southern Mono Healthcare District

  • Rehabilitation Clinic/Center
  • Bishop, CA
  • NPI 1518460070
  NPD (past)

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1487278032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SUNNY SLOPES RD UNIT A",
            "city": "TOMS PLACE",
            "state": "CA",
            "postal_code": "935466371",
            "telephone_number": "510-390-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 S MAIN ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143415",
            "telephone_number": "760-872-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "KATHERINE",
        "middle_name": "IRENE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "47925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CA",
            "identifier": "47925",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine.sheehan@mammothhospital.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "mammoth hospital direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "162 S Main St",
            "city": "Bishop",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935143415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Curtis Schweizer, M.D.
• Stephanie Danielle Selke, FNP-C
• Ses Event Safety, Inc.
• Michelle Leigh Shambo, LPCC, LMHC
• Uttama Sharma, MD
• Danielle Shefet
• Alice A Sherbow
• Shift Physical Therapy & Performance Inc
• Peggy Lee Shoemaker
• Tamia Shoshone

• Physical Therapy Assistant in Bishop, CA
• Providers in Bishop, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.