Shannon Weis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6369 Issued in CA

Practice address

24422 Avenida de la Carlota Ste 100
Laguna Hills, CA 92653-3648

Phone

(949) 716-2730

NPI assigned

Dec 18, 2023

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1912775073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533648",
            "telephone_number": "949-716-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533648",
            "telephone_number": "949-716-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIS",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "6369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Weaver, MFTI
• Kendall Marie Weber, B.S.
• Dinali Weerakkodi
• Benjamin Menasheh Weinberg, MD
• Cathy Lynn Weinstein, MFC
• Natalie Wek
• Wel-Mor Psychology Group, Inc
• Laurie K Welch, OTR/L
• Wellara
• Wellara Physical Therapy PC

• Physical Therapy Assistant in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.