Organization Active NPI

Rodney K. Shorey Physical Therapy Services, Inc.

  • Physical Therapist
  • Woodland Hills, CA
National Provider Identifier
1508964685
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22464 Issued in CA
Legal business name
RODNEY K. SHOREY PHYSICAL THERAPY SERVICES, INC.
Practice address
22151 Clarendon St
Woodland Hills, CA 91367-6308
Phone
(818) 884-4810
Fax
(818) 884-4802
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Mr. Rodney K Shorey, PTNPI 1154420610
Title
President
Phone
(310) 923-5440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT22464 CA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X PT22462 CA
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X PT22462 CA

Addresses

Primary practice location

22151 Clarendon St
Woodland Hills, CA 91367-6308

Mailing address

22151 Clarendon St
Woodland Hills, CA 91367-6308
Phone (818) 884-4810

Other names 1

  • Woodland Hills Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061117000467 CA Part B Supplier - Clinic/Group Practice 3577561927 Receives reassigned benefits from 3 practitioners
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory

Locations

22151 Clarendon St
Woodland Hls, CA 91367
Phone (818) 884-4810

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1508964685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22151 CLARENDON ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676308",
            "telephone_number": "818-884-4810",
            "fax_number": "818-884-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22151 CLARENDON ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676308",
            "telephone_number": "818-884-4810",
            "fax_number": "818-884-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY K. SHOREY PHYSICAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "SHOREY",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-923-5440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22464",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT22462",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT22462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Hills Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.