Individual provider Active NPI

Nancy Shanow, DPT

  • Physical Therapist
  • Stevenson Ranch, CA
National Provider Identifier
1740936640
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301701 Issued in CA
Practice address
25129 The Old Rd Ste 100
Stevenson Ranch, CA 91381-2281
Phone
(661) 284-1984
Fax
(661) 284-1991
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 301701 CA Primary

Addresses

Primary practice location

25129 The Old Rd Ste 100
Stevenson Ranch, CA 91381-2281

Mailing address

25129 The Old Rd Ste 100
Stevenson Ranch, CA 91381-2281
Phone (661) 284-1984

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@scvtherapyservices.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220518000725 CA Practitioner - Physical Therapist in Private Practice 2961889605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMC Physical Therapy, IncGroup PAC ID 2466860275, 3 clinicians

Practice addresses (Care Compare)

10170 Mason Ave
Chatsworth, CA 91311-3301
Phone (818) 678-9052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SMC Physical Therapy, Inc Physical Therapist CurrentSince Jul 17, 2024 Accepting new patients
Santa Clarita Valley Therapy Services Physical Therapist CurrentSince Apr 28, 2022 Accepting new patients
MD Solutions Medical Corp PastSince Mar 6, 2022 Accepting new patients

Locations

10170 Mason Ave
Chatsworth, CA 91311

8349 Reseda Blvd
Ste C
Northridge, CA 91324
Phone (818) 678-9052

25129 The Old Rd
Ste 100
Stevenson Rnh, CA 91381
Phone (661) 284-1984

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.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1740936640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25129 THE OLD RD STE 100",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913812281",
            "telephone_number": "661-284-1984",
            "fax_number": "661-284-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25129 THE OLD RD STE 100",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913812281",
            "telephone_number": "661-284-1984",
            "fax_number": "661-284-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANOW",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@scvtherapyservices.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25129 The Old Rd Ste 100",
            "city": "Stevenson Ranch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913812281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stevenson Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.