Active NPI
Nazanin Sadet Shobeiri, PT
- Orthopedic Physical Therapist
- Santa Rosa, CA
National Provider Identifier
1861076663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.85 of 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 79.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stithem & Johnson Physical Therapy Inc. | Orthopedic | Past | 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.
-
dba Orthopaedic & Sports Physical Therapy
- Physical Therapy Clinic/Center
- Santa Rosa, CA
- NPI 1831386838
Orthopedic
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.