Erika Kay Shumock

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT293731 Issued in CA

Practice address

5312 Bolsa Ave Ste 105
Huntington Beach, CA 92649-1060

Phone

(855) 295-3276

Fax

(818) 241-6853

NPI assigned

Sep 26, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mastering Milestones, LLC

  • Physical Therapy Clinic/Center
  • Mount Pleasant, SC
  • NPI 1356974067
  NPD Authorized official

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982113593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 E COLORADO BLVD STE 560",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062380",
            "telephone_number": "818-241-6780",
            "fax_number": "818-241-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 BOLSA AVE STE 105",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926491060",
            "telephone_number": "855-295-3276",
            "fax_number": "818-241-6853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14150 Culver Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926040322",
            "country_code": "US",
            "telephone_number": "949-262-9142",
            "fax_number": "949-262-9144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23121 Antonio Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rancho Santa Margarita",
            "state": "CA",
            "postal_code": "926882660",
            "country_code": "US",
            "telephone_number": "949-713-6445",
            "fax_number": "949-713-6488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUMOCK",
        "first_name": "ERIKA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT293731",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shoreline Ambulance Inc
• Shoreline Physical Therapy, Inc.
• Megan Short
• Bojil Petrov Shterev, PTA
• Rachel Shubin
• Rosa Sicairos, LPCC, LMFT
• Yasmin Sida Montes
• Harishma Sidhu, DMD
• Linda Siembieda, P.T.
• Christian Chanse Sierra

• Physical Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.