Individual provider Active NPI

Sheila Anne Northcutt, MS,PT, ATC, CLT

  • Orthopedic Physical Therapist
  • Orange, CA
National Provider Identifier
1679523781
Registry record updated Oct 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
38494 Issued in CA
Practice address
1045 N Tustin St
Orange, CA 92867-5904
Phone
(714) 288-8303
Fax
(714) 744-1991
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 38494 CA Primary

Addresses

Primary practice location

1045 N Tustin St
Orange, CA 92867-5904

Mailing address

1045 N Tustin St
Orange, CA 92867-5904
Phone (714) 288-8303

Other identifiers 3

IdentifierTypeStateIssuer
208737315OtherTRICARE
2Z7238OtherHEALTHNET
1386864262OtherAZBCBS OF AZ

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
38494CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peggy Langley Past Accepting new patients
Metro Physical Therapy of Scottsdale PastSince Apr 30, 2003 Accepting new patients
Northcutt Physical Therapy PLLC PastSince Jul 10, 2007 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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350086400000",
    "number": "1679523781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675904",
            "telephone_number": "714-288-8303",
            "fax_number": "714-744-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675904",
            "telephone_number": "714-288-8303",
            "fax_number": "714-744-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHCUTT",
        "first_name": "SHEILA",
        "middle_name": "ANNE",
        "credential": "MS,PT, ATC, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "38494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "208737315",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2Z7238",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "1386864262",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.