Good Shepherd Rehabilitation Agency, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

GOOD SHEPHERD REHABILITATION AGENCY, INC

Practice address

6091 Thor Dr
Huntington Beach, CA 92647-2400

Phone

(714) 269-7986

Fax

(714) 799-4322

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Shenouda Bahgat Salib, RPTNPI 1821102906

Title

Physical Therapist / President

Phone

(714) 269-7986

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shenouda Salib, RPT

  • Physical Therapist
  • Huntington Beach, CA
  • NPI 1821102906
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1740393693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6091 THOR DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472400",
            "telephone_number": "714-269-7986",
            "fax_number": "714-799-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6091 THOR DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472400",
            "telephone_number": "714-269-7986",
            "fax_number": "714-799-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD REHABILITATION AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "SALIB",
        "authorized_official_first_name": "SHENOUDA",
        "authorized_official_middle_name": "BAHGAT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / PRESIDENT",
        "authorized_official_telephone_number": "714-269-7986",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy Bich Gonzalez
• Ulises Gonzalez
• Valentina Gonzalez
• Good Life Therapy Services Inc.
• Good Savior Transportation, Inc
• Thomas Armstrong Goodheart, M.D.
• Kim Wendee Goodman
• Carrie Anne Gordon, AMFT 133512
• Michael Gordon, D.D.S.
• Paul Goshgarian, LCSW

• Speech-Language Pathologist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.