Active NPI
Madison Lorraine Shasteen, OTR/L
- Occupational Therapist
- Montebello, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 20563
- Practice address
- 273 E Beverly Blvd
Montebello, CA 90640-3775 - Phone
- (323) 724-5100
- NPI assigned
- Jan 1, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 20563 | CA | Primary |
Addresses
Primary practice location
273 E Beverly Blvd
Montebello, CA 90640-3775
Mailing address
28592 Murrelet Dr
Laguna Niguel, CA 92677-1372
Phone (949) 309-0126
Other practice location 1
819 Buena Vista St
Duarte, CA 91010-1703
Phone (626) 408-7802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 N Crescent Dr
Beverly Hills, CA 90210-4898
Phone (424) 313-5988
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Physical Therapy Services, PC | Single Specialty | Current | Accepting new patients |
| Sand Coast Rehab Physical Therapy Inc | Single Specialty | Current | Accepting new patients |
| Robert Marriott Medical Corp | Single Specialty | Past | Accepting new patients |
Locations
441 E Carson St
Ste K
Carson, CA 90745
Phone (732) 375-0420
1420 Santo Domingo Ave
Duarte, CA 91010
Phone (626) 497-1946
3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403
245 W Sierra Madre Blvd
Sierra Madre, CA 91024
Phone (626) 325-3780
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
- Beverly Hills, CA
- NPI 1285160788
Single Specialty
-
- Physical Therapist
- Lakewood, NJ
- NPI 1639766603
CA, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577836800000",
"number": "1730728262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28592 MURRELET DR",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926771372",
"telephone_number": "949-309-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "273 E BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403775",
"telephone_number": "323-724-5100"
}
],
"practiceLocations": [
{
"address_1": "819 Buena Vista St",
"address_purpose": "LOCATION",
"city": "Duarte",
"state": "CA",
"postal_code": "910101703",
"country_code": "US",
"telephone_number": "626-408-7802",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHASTEEN",
"first_name": "MADISON",
"middle_name": "LORRAINE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-01",
"last_updated": "2020-01-01",
"certification_date": "2020-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CA",
"license": "20563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; 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.