Individual provider Active NPI

Deborah Shea

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1760492870
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1032688 Issued in TX
Practice address
5440 Everhart Rd
St 1
Corpus Christi, TX 78411-4838
Phone
(361) 994-5224
Fax
(361) 992-1933
NPI assigned
Aug 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1032688 TX Primary

Addresses

Primary practice location

5440 Everhart Rd
St 1
Corpus Christi, TX 78411-4838

Mailing address

5440 Everhart Rd
St 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

Other identifiers 1

IdentifierTypeStateIssuer
81478TOtherTXBCBS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1032688TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shea Physical Therapy P C Physical Therapist Current Accepting new patients
Shea Physical Therapy Specialists LLC Physical Therapist Current Accepting new patients
Shea Physical Therapy PC Current Accepting new patients

Locations

5440 Everhart Rd
Ste 1
Corpus Christi, TX 78411
Phone (361) 992-1435

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760492870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 EVERHART RD",
            "address_2": "ST 1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114838",
            "telephone_number": "361-994-5224",
            "fax_number": "361-992-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 EVERHART RD",
            "address_2": "ST 1",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114838",
            "telephone_number": "361-994-5224",
            "fax_number": "361-992-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "DEBORAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1032688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "81478T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.