Diane Shead, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21771 Issued in CA

Practice address

1421 N Wanda Rd
Suite 110
Orange, CA 92867-5343

Phone

(714) 771-7047

Fax

(714) 771-7051

NPI assigned

Sep 6, 2014

Last updated

Sep 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical RX Physical Therapy IncGroup PAC ID 8820195233, 6 clinicians

California Aquatic Therapy and Wellness Center IncGroup PAC ID 0244455020, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• California Aquatic Therapy & Wellness Center, Inc.

  dba Pools of Hope

  • Physical Therapist
  • Long Beach, CA
  • NPI 1558513010
  Medicare reassignment Care Compare group NPD
• Physical RX Physical Therapy, Inc.

  dba Physical Rx

  • Sports Physical Therapist
  • Huntington Beach, CA
  • NPI 1457436578
  Medicare reassignment Care Compare group NPD
• California Therapy Solutions

  • Physical Therapy Clinic/Center
  • Fountain Valley, CA
  • NPI 1548329519

  Physical Therapist

  Medicare reassignment NPD
• John M. Somerndike Physical Therapy, PC

  dba Orange Coast Orthopedic and Sports Physical Therapy

  • Physical Therapy Clinic/Center
  • Orange, CA
  • NPI 1578861076

  Physical Therapist

  Medicare reassignment NPD
• JRD Physical Therapy Inc

  • Physical Therapist
  • Los Alamitos, CA
  • NPI 1255875431
  Medicare reassignment NPD
• PCPT, Inc

  • Physical Therapist
  • Cerritos, CA
  • NPI 1467647230
  Medicare reassignment NPD
• California Therapy Solutions

  • Specialist
  • Huntington Beach, CA
  • NPI 1265869523
  NPD
• New West Rehabilitation, Inc.

  • Physical Therapist
  • Bellflower, CA
  • NPI 1497737522
  NPD (past)
• Pro Care Physical Therapy

  • Physical Therapy Clinic/Center
  • Cerritos, CA
  • NPI 1821177767
  NPD (past)

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

{
    "created_epoch": "1409961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409961600000",
    "number": "1811398126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 N WANDA RD",
            "address_2": "SUITE 110",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675343",
            "telephone_number": "714-771-7047",
            "fax_number": "714-771-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N WANDA RD",
            "address_2": "SUITE 110",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675343",
            "telephone_number": "714-771-7047",
            "fax_number": "714-771-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAD",
        "first_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-06",
        "last_updated": "2014-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ameerah Shawabkeh
• Salem Shawabkeh
• Shawn L. Miller, DMD, Inc.
• Mark Shay, D.D.S.
• Laurel R Shea, PHARMD
• Shane Sheahan
• David R Shear, DDS
• Andrea Peterson Shedwill, DDS
• Kelly Diane Sheehan
• Paiwen Sheen, M.D.

• Physical Therapist in Orange, CA
• Providers in Orange, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2014; 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.