Active NPI
Shawn Rey Castellon, P.T.
- Physical Therapist
- Lake Elsinore, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17068
- Practice address
- 425 Diamond Dr Ste 101
Lake Elsinore, CA 92530-4495 - Phone
- (951) 674-9515
- Fax
- (951) 674-9517
- NPI assigned
- Feb 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT17068 | CA | Primary |
Addresses
Primary practice location
425 Diamond Dr Ste 101
Lake Elsinore, CA 92530-4495
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Other names 1
- Ms. Shawn Rey McClain
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
425 Diamond Dr
Suite 101
Lake Elsinore, CA 92530-4495
Phone (951) 674-9515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT17068 | CA | MD | Physical Therapist |
| 17068 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| All Star Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Choice Physical Therapy Inc | Past | Accepting new patients |
Locations
16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767
425 Diamond Dr
Ste 101
Lake Elsinore, CA 92530
Phone (951) 674-9515
68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630
450 W Palmdale Blvd
Palmdale, CA 93551
Phone (661) 273-5333
1338 Main St
Ramona, CA 92065
Phone (760) 789-1400
29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001
32246 Clinton Keith Rd
Ste 103
Wildomar, CA 92595
Phone (951) 677-7221
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Physical Therapist
- Murrieta, CA
- NPI 1750559431
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapy Clinic/Center
- Temecula, CA
- NPI 1770703266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1659511368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 DIAMOND DR STE 101",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304495",
"telephone_number": "951-674-9515",
"fax_number": "951-674-9517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLON",
"first_name": "SHAWN",
"middle_name": "REY",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-21",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT17068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHAWN",
"last_name": "MCCLAIN",
"middle_name": "REY",
"prefix": "MS.",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.