NPIMap

Organization Active NPI

Wellness & Rehabilitation Physical Therapy

  • Physical Therapist
  • Watsonville, CA
National Provider Identifier
1912923319
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 21556 Issued in CA
Legal business name
WELLNESS & REHABILITATION PHYSICAL THERAPY
Practice address
50 Penny LN
Watsonville, CA 95076-3079
Phone
(831) 768-9707
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Becky Louise Sheaffer-Egan, P.T.NPI 1639108459
Title
Owner
Phone
(831) 768-9707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 21556 CA Primary

Addresses

Primary practice location

50 Penny LN
Watsonville, CA 95076-3079

Mailing address

50 Penny LN
Watsonville, CA 95076-3079
Phone (831) 768-9707

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912923319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PENNY LN",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763079",
            "telephone_number": "831-768-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PENNY LN",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763079",
            "telephone_number": "831-768-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS & REHABILITATION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEAFFER-EGAN",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-768-9707",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 21556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.