Becky Louise Sheaffer-Egan, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21556 Issued in CA

Practice address

50 Penny LN
Watsonville, CA 95076-3079

Phone

(831) 768-9707

Fax

(831) 728-0505

NPI assigned

Jul 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Wellness & Rehabilitation Physical Therapy

  • Physical Therapist
  • Watsonville, CA
  • NPI 1912923319
  NPD (past) Authorized official
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1639108459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 SOQUEL DRIVE",
            "address_2": "SUITE I",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033990",
            "telephone_number": "831-768-9707",
            "fax_number": "831-661-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PENNY LN",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763079",
            "telephone_number": "831-768-9707",
            "fax_number": "831-728-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAFFER-EGAN",
        "first_name": "BECKY",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21556",
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "PT21556",
            "primary": false
        },
        {
            "code": "2251H1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Human Factors",
            "state": "CA",
            "license": "PT21556",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT21556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5617 Scotts Valley Dr",
            "city": "Scotts Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Serenity TLC Home Care LLC
• Tatiana Juliann Serna, BCBA
• Adriana Serratos Valdivia
• Maria Veronica Serratos Valdivia
• Pushpendra Sharma, M.D.
• Sarah Sheely
• Gary B. Shenfield, D.D.S.
• Shine a Light Counseling Center, Inc
• Shine a Light Family Therapy, Inc.
• Side-by-Side

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.