Stacy Lee Sheeran

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304964 Issued in CA

Practice address

24050 Aliso Creek Rd Ste 1C
Laguna Niguel, CA 92677-3937

Phone

(949) 317-4454

NPI assigned

Oct 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Rehabilitation and Sports Therapy a California Physical theGroup PAC ID 6709788896, 182 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• California Rehabilitation & Sports Therapy a California Physical Ther

  dba California Rehabilitation & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Mission Viejo, CA
  • NPI 1386696409

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• California Rehab & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1508540279
  NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  • Physical Therapy Clinic/Center
  • Downey, CA
  • NPI 1497708879

  Physical Therapist

  NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  dba Cal Rehab - San Juan Capistrano

  • Physical Therapist
  • San Juan Capistrano, CA
  • NPI 1497268742
  NPD (past)

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1699556696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 S ATLANTIC BLVD # 1093",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24050 ALISO CREEK RD STE 1C",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773937",
            "telephone_number": "949-317-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEERAN",
        "first_name": "STACY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Halim Farag Shahat Sr., DC
• Zahra Shahim, MD
• Sabrina Shalemi
• Shanti Oc
• Sharifian Professional Dental Corporation (Laguna Niguel Dental Group)
• Jennifer Shemouel
• Sher Institute for Reproductive Medicine
• Shigeru Chino, M.D., Inc.
• Brian Shin, DO
• Christina Shin

• Physical Therapist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.