Shannon Marie Sookhoo, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT294495 Issued in CA

Practice address

1933 Manning Ave Apt 104
Los Angeles, CA 90025-4840

Phone

(661) 406-7405

NPI assigned

Oct 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1689184277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 MANNING AVE APT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 MANNING AVE APT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254840",
            "telephone_number": "661-406-7405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Pennsylvania Ave Ste 1D5",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191303000",
            "country_code": "US",
            "telephone_number": "215-236-3700",
            "fax_number": "215-236-3466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOOKHOO",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026481",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behrooz David Soofer, DPM
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• Pedram Sooferi, D.D.S.
• Michelle Marie Soohoo
• Nelson Soohoo, MD
• Jaruwan Sookpiti, MT
• Sookyoung Chung Marriage and Family Therapy, a Professional Corporation
• Laleh Soomekh, LCSW
• Soon Hong Pharmaceutical, Inc
• Soon M. Cha MD, Inc

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, 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 25, 2020; 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.