Individual provider Active NPI

Sheila Orino Severo, PT

  • Physical Therapist
  • Fontana, CA
National Provider Identifier
1649446527
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35649 Issued in CA
Practice address
15314 Knollview PL
Fontana, CA 92336-3338
Phone
(626) 274-8813
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 35649 CA Primary
Physical Therapist 225100000X PT23713 FL

Addresses

Primary practice location

15314 Knollview PL
Fontana, CA 92336-3338

Mailing address

15314 Knollview PL
Fontana, CA 92336-3338
Phone (626) 274-8813

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

State licenses

LicenseStateTypeSpecialty
PT23713FLMDPhysical Therapist
35649CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Specialists East Coast Physical Therapist Past Accepting new patients
Alhambra Family Medical Center Past Accepting new patients
Thomas Allied Physical Therapy Inc Physical Therapist PastSince Aug 1, 2009 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1649446527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15314 KNOLLVIEW PL",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363338",
            "telephone_number": "626-274-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15314 KNOLLVIEW PL",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363338",
            "telephone_number": "626-274-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERO",
        "first_name": "SHEILA",
        "middle_name": "ORINO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35649",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.