Individual provider Active NPI

Sheila Moh-Shun Vonbergen, MPT

  • Physical Therapist
  • Stanwood, WA
National Provider Identifier
1972556850
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009346 Issued in WA
Practice address
27500 102ND Ave NW
Ste 1
Stanwood, WA 98292-8092
Phone
(360) 629-9768
Fax
(360) 629-6487
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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 PT00009346 WA Primary

Addresses

Primary practice location

27500 102ND Ave NW
Ste 1
Stanwood, WA 98292-8092

Mailing address

27500 102ND Ave NW
Ste 1
Stanwood, WA 98292-8092
Phone (360) 629-9768

Other names 1

  • Sheila Moh-Shun Saw Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060628000293 WA Practitioner - Physical Therapist in Private Practice 4082626411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Physical Therapy and Sports Clinic, Inc.Group PAC ID 8820179377, 2 clinicians

Practice addresses (Care Compare)

210 Ferry St
Sedro Woolley, WA 98284-1411
Phone (360) 856-4216

Cascade Physical Therapy and Sports Clinic
210 Ferry St
Sedro Woolley, WA 98284-1411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NSPT, Inc. Physical Therapist CurrentSince Mar 1, 2008 Accepting new patients
Cascade Physical Therapy and Sports Clinic, Inc. CurrentSince Aug 5, 2025 Accepting new patients
NSPT, Inc. Physical Therapist CurrentSince Mar 1, 2008 Accepting new patients
Cascade Physical Therapy & Sports Clinic Physical Therapist Past Accepting new patients

Locations

4420 106th St SW
Mukilteo, WA 98275
Phone (425) 212-1810

275 SE Cabot Dr
Ste B203
Oak Harbor, WA 98277
Phone (360) 279-1445

210 Ferry St
Sedro Woolley, WA 98284
Phone (360) 856-4216

27500 102nd Ave NW
Ste 1
Stanwood, WA 98292
Phone (360) 629-7528

Organizations & group practices 4

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1972556850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27500 102ND AVE NW",
            "address_2": "STE 1",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928092",
            "telephone_number": "360-629-9768",
            "fax_number": "360-629-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27500 102ND AVE NW",
            "address_2": "STE 1",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928092",
            "telephone_number": "360-629-9768",
            "fax_number": "360-629-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONBERGEN",
        "first_name": "SHEILA",
        "middle_name": "MOH-SHUN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "SAW",
            "middle_name": "MOH-SHUN",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stanwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.