Bradley Scott Shumway, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT36191 Issued in CA

Practice address

1424 Avenida de Vaca
Placentia, CA 92870-3214

Phone

(805) 748-4438

NPI assigned

Dec 19, 2012

Sex

Male

Sole proprietor

Yes

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

Midwestern University College of Dental Medicine, Glendale, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 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 and National Provider Directory roles.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166

  Orthopedic

  Medicare reassignment Care Compare group NPD
• George Sidney Young, MS, DPT, OCS

  • Physical Therapist
  • Los Alamitos, CA
  • NPI 1891782231
  Medicare reassignment
• Alamitos Physical Therapy

  • Physical Therapist
  • Los Alamitos, CA
  • NPI 1437169059
  NPD (past)

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1841536802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 AVENIDA DE VACA",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703214",
            "telephone_number": "805-748-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 AVENIDA DE VACA",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703214",
            "telephone_number": "805-748-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMWAY",
        "first_name": "BRADLEY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT36191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Shimizu
• Kristi Shin
• Tammy Chang Shinen, O. D.
• Melanie Shinno, DPT
• Meena Shneezai
• Subha Shunmugam, SLP
• Sidus Medical Corporation
• Heather Elizabeth Silva, LMFT
• Deanne Zeno Simmons, SLPA
• Sital Mandalia DDS Inc

• Orthopedic Physical Therapist in Placentia, CA
• Providers in Placentia, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.