Esther Mijung Shin, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24611 Issued in CA

Practice address

1099 Carrara Way
Livermore, CA 94550-6557

Phone

(925) 980-5022

NPI assigned

Oct 29, 2010

Sex

Female

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

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Ramon Valley Physical Therapy IncGroup PAC ID 6901874023, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• San Ramon Valley Physical Therapy Inc.

  • Orthopedic Physical Therapist
  • Danville, CA
  • NPI 1215005921
  Medicare reassignment Care Compare group NPD
• Affinity Medical Group

  • Case Manager/Care Coordinator
  • Foster City, CA
  • NPI 1689708042
  NPD (past)
• Diversified Medical Center a

  • Orthopaedic Surgery Physician
  • Livermore, CA
  • NPI 1255662607
  NPD (past)

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1841590304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 SAN RAMON VALLEY BLVD STE 190",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264032",
            "telephone_number": "925-348-0224",
            "fax_number": "925-552-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 CARRARA WAY",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506557",
            "telephone_number": "925-980-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "ESTHER",
        "middle_name": "MIJUNG",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "24611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobby Shan, DO, MS
• Payal Sharma
• Shayna Rondon DDS Inc
• Manal Shehadi-Glennon
• Ellen Shibata, MD
• Linda T Shiraishi, RN, FNP, CWON
• Michelle Shoji-Lee, PHARM.D.
• Shortz Chiropractic Apc
• Jamie Shortz, DC, MS
• Melinda Joy Shrock, MFT1

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.