Individual provider Active NPI

Nazanin Sadet Shobeiri, PT

  • Orthopedic Physical Therapist
  • Santa Rosa, CA
National Provider Identifier
1861076663
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
6574 Oakmont Dr Ste a
Santa Rosa, CA 95409-5958
Phone
(707) 539-5256
Fax
(707) 539-7914
NPI assigned
May 7, 2021
Last updated
May 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

6574 Oakmont Dr Ste a
Santa Rosa, CA 95409-5958

Mailing address

795 Farmers LN Ste 10
Santa Rosa, CA 95405-6718
Phone (707) 571-7615

Other practice location 1

795 Farmers Ln Ste 10
Santa Rosa, CA 95405-6718
Phone (707) 571-7615

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL WebPT Health Information Exchange (HIE)

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
80
Improvement activities
40
Cost
79.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stithem & Johnson Physical Therapy Inc. Orthopedic PastSince May 9, 2021 Accepting new patients

Organizations & group practices 1

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1861076663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 FARMERS LN STE 10",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056718",
            "telephone_number": "707-571-7615",
            "fax_number": "707-571-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6574 OAKMONT DR STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095958",
            "telephone_number": "707-539-5256",
            "fax_number": "707-539-7914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 Farmers Ln Ste 10",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954056718",
            "country_code": "US",
            "telephone_number": "707-571-7615",
            "fax_number": "707-571-8601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOBEIRI",
        "first_name": "NAZANIN",
        "middle_name": "SADET",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "WebPT EMR software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "WebPT Scheduling software",
            "address_1": "6574 Oakmont Dr Ste A",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954095958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.