Individual provider Active NPI

Shanice D Lowe, DPT

  • Physical Therapist
  • Sunnyvale, CA
National Provider Identifier
1922475375
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42875 Issued in CA
Practice address
263 N Mathilda Ave
Sunnyvale, CA 94086-4830
Phone
(408) 736-7600
Fax
(408) 736-7604
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 42875 CA Primary

Addresses

Primary practice location

263 N Mathilda Ave
Sunnyvale, CA 94086-4830

Mailing address

263 N Mathilda Ave
Sunnyvale, CA 94086-4830
Phone (408) 736-7600

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ29361ZOtherCAMEDICARE GROUP PTAN
1053320325OtherCAGROUP NPI

Other names 1

  • Shanice D Howard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150917001019 CA Practitioner - Physical Therapist in Private Practice 6406163807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Physical Therapy IncGroup PAC ID 9234297771, 27 clinicians

Practice addresses (Care Compare)

4482 Barranca Pkwy
Suite 195
Irvine, CA 92604-4706
Phone (949) 679-3337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42875CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Physical Therapy, Inc. Physical Therapist CurrentSince Sep 17, 2020 Accepting new patients

Locations

4482 Barranca Pkwy
Ste 195
Irvine, CA 92604
Phone (949) 679-3337

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1922475375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 N MATHILDA AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940864830",
            "telephone_number": "408-736-7600",
            "fax_number": "408-736-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 N MATHILDA AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940864830",
            "telephone_number": "408-736-7600",
            "fax_number": "408-736-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "SHANICE",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "ZZZ29361Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1053320325",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANICE",
            "last_name": "HOWARD",
            "middle_name": "D",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.