Active NPI
Shannon Ye
- Physical Therapist
- Glendale, CA
National Provider Identifier
1740959857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 300775
- Practice address
- 3810 La Crescenta Ave
Glendale, CA 91214-3914 - Phone
- (818) 369-7700
- NPI assigned
- Sep 10, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 300775 | CA | Primary |
Addresses
Primary practice location
3810 La Crescenta Ave
Glendale, CA 91214-3914
Mailing address
3810 La Crescenta Ave
Glendale, CA 91214-3914
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.tylerphysicaltherapy.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300775 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Physical Therapy Specialists, Inc | Physical Therapist | Current | Accepting new patients |
| Tyler Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Foothill Family Service - Hudson | Past | Accepting new patients |
Locations
3810 La Crescenta Ave
La Crescenta, CA 91214
Phone (818) 369-7620
3800 Foothill Blvd
Ste A
La Crescenta, CA 91214
Phone (818) 369-7700
111 S Hudson Ave
Pasadena, CA 91101
Phone (626) 683-8536
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 Therapy Clinic/Center
- Pasadena, CA
- NPI 1346300670
Physical Therapist
-
- Physical Therapist
- La Crescenta, CA
- NPI 1255770095
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pasadena, CA
- NPI 1336275056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1740959857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 LA CRESCENTA AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912143914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 LA CRESCENTA AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912143914",
"telephone_number": "818-369-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YE",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "300775",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.tylerphysicaltherapy.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3810 La Crescenta Ave",
"city": "Glendale",
"state": "CA",
"country_code": "US",
"postal_code": "912143914",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.