Shawn Michael Roberts, PHYSICAL THERAPY

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0134263 Issued in VT

Practice address

41 Hitchcock Way
Santa Barbara, CA 93105-3174

Phone

(805) 682-2536

NPI assigned

Aug 15, 2021

Last updated

Sep 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

University of Vermont College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1272/brand/1/csg/1/fhir/r4

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.

• Coast to Coast Physio LLC

  • Physical Therapy Clinic/Center
  • Santa Barbara, CA
  • NPI 1427830330

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Alta Orthopaedic Medical Group Inc

  • Orthopaedic Surgery Physician
  • Santa Barbara, CA
  • NPI 1699768903
  Medicare reassignment NPD
• Advanced Performance Physical Therapy and Rehabilitation, Inc

  • Physical Therapist
  • Lompoc, CA
  • NPI 1720023658
  Medicare reassignment
• Alta Orthopaedic Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Solvang, CA
  • NPI 1376035923
  NPD

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

{
    "created_epoch": "1628985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1912672593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3968 GREENBUSH RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459306",
            "telephone_number": "802-735-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 HITCHCOCK WAY",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053174",
            "telephone_number": "805-682-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-15",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C Corlett MD Inc
• Robert S. P. Fan, MD, a Professional Corporation
• Robert Wood MD Apc
• Roberta D Sengelmann MD Inc (Santa Barbara Skin Institute)
• Shirley Roberto, CATC111
• Cassidy Robertson, AMFT
• Jacqueline Sarah Robertson
• Ronald Grant Robertson Jr., DDS
• Sean Andrew Robertson, DDS
• Sherry Robin, MFT

• Physical Therapist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.