Individual provider Active NPI

Shelby Lynn Schwede, PT, DPT, ATC

  • Orthopedic Physical Therapist
  • Pleasanton, CA
National Provider Identifier
1972030435
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
295230 Issued in CA
Practice address
5980 Stoneridge Dr Ste 100
Pleasanton, CA 94588-2723
Phone
(925) 847-8833
Fax
(925) 847-8772
NPI assigned
May 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Orthopedic Physical Therapist 2251X0800X 295230 CA Primary

Addresses

Primary practice location

5980 Stoneridge Dr Ste 100
Pleasanton, CA 94588-2723

Mailing address

5980 Stoneridge Dr Ste 100
Pleasanton, CA 94588-2723
Phone (925) 847-8833

Other practice location 1

1450 Busch Pkwy Ste 115A
Buffalo Grove, IL 60089-4541
Phone (224) 676-7920

Other practice location 2

5980 Stoneridge Dr Ste 100
Pleasanton, CA 94588-2723
Phone (925) 847-8833

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

State licenses

LicenseStateTypeSpecialty
295230CAMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1972030435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 STONERIDGE DR STE 100",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882723",
            "telephone_number": "925-847-8833",
            "fax_number": "925-847-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 STONERIDGE DR STE 100",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882723",
            "telephone_number": "925-847-8833",
            "fax_number": "925-847-8772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Busch Pkwy Ste 115A",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600894541",
            "country_code": "US",
            "telephone_number": "224-676-7920",
            "fax_number": "224-676-7994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5980 Stoneridge Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945882723",
            "country_code": "US",
            "telephone_number": "925-847-8833",
            "fax_number": "925-847-8772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWEDE",
        "first_name": "SHELBY",
        "middle_name": "LYNN",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "295230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.