Shelley Diane Paramanandam, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT16880 Issued in CA

Practice address

2486 Ponderosa North
Suite D 106 Dos Caminos Physical Therapy and Sports Reh
Camarillo, CA 93010-2376

Phone

(805) 484-5447

Fax

(805) 484-2158

NPI assigned

Feb 1, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1710165774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2486 PONDEROSA NORTH",
            "address_2": "SUITE D 106 DOS CAMINOS PHYSICAL THERAPY AND SPORTS REH",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102376",
            "telephone_number": "805-484-5447",
            "fax_number": "805-484-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 PONDEROSA NORTH",
            "address_2": "SUITE D 106 DOS CAMINOS PHYSICAL THERAPY AND SPORTS REH",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102376",
            "telephone_number": "805-484-5447",
            "fax_number": "805-484-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARAMANANDAM",
        "first_name": "SHELLEY",
        "middle_name": "DIANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.