Shawn Mikel Fitzpatrick, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 23166 Issued in CA

Practice address

135 Woodland Ave.
Woodland, CA 95695-2701

Phone

(530) 662-9674

NPI assigned

Dec 19, 2006

Sex

Male

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.

• Dynamic Therapy Solutions

  • Physical Therapist
  • Woodland, CA
  • NPI 1558432732
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619030889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 STANFORD RANCH RD STE 2",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WOODLAND AVE.",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952701",
            "telephone_number": "530-662-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "SHAWN",
        "middle_name": "MIKEL",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 23166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Firstsight Vision Services, Inc.
• Fisher Physical Therapy
• Mark Renard Fisher, R.P.T.
• Darsie Livengood Fisk, M.S.P.T.
• Marcella Frances Fitzgerald, LVN
• Carl Joseph Fleischmann, DDS
• Emily Flores Gonzalez
• Breanna R Flores
• Carlos Alberto Flores Jr., MS, MFCC
• Jennifer Flores

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.