Shaun Vidal, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

305429 Issued in CA

Practice address

2202 Artesia Blvd Ste Q
Torrance, CA 90504-2963

Phone

(310) 714-3010

NPI assigned

Dec 18, 2025

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

Other, 2023

Medicare assignment

May accept Medicare assignment

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.

• Reps Physical Therapy PC

  • Physical Therapist
  • Torrance, CA
  • NPI 1992432140

  Orthopedic

  Medicare reassignment NPD

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1851256218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22722 CERISE AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052918",
            "telephone_number": "310-714-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 ARTESIA BLVD STE Q",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905042963",
            "telephone_number": "310-714-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "SHAUN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "305429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freesia Vickman
• Jodie Victor, M.S., CCC-SLP
• Victoria Shin MD Inc
• Jeff Victoroff, M.D.
• Evan Vidal, DO
• Karla Chantel Viera
• Louis Anthony Viera
• Ednalyn Viesca
• Emile Rene Vieta, MD
• Vanessa Victoria Vigil

• Orthopedic Physical Therapist in Torrance, CA
• Providers in Torrance, 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 18, 2025; 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.