Active NPI
Rachel Julia Shelly
- Physical Therapist
- Van Nuys, CA
National Provider Identifier
1902311996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294185
- Practice address
- 6815 Noble Ave
Van Nuys, CA 91405-3796 - Phone
- (818) 901-6600
- NPI assigned
- Dec 12, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 294185 | CA | Primary |
Addresses
Primary practice location
6815 Noble Ave
Van Nuys, CA 91405-3796
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
930 W Alameda Ave
Burbank, CA 91506-2802
Phone (818) 588-3880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1902311996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6815 NOBLE AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053796",
"telephone_number": "818-901-6600"
}
],
"practiceLocations": [
{
"address_1": "930 W Alameda Ave",
"address_purpose": "LOCATION",
"city": "Burbank",
"state": "CA",
"postal_code": "915062802",
"country_code": "US",
"telephone_number": "818-588-3880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHELLY",
"first_name": "RACHEL",
"middle_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-12",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.