SHANNON L CHEN (NPI# 1962728519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962728519 |
| Entity Type | Individual |
| Full Name | SHANNON L CHEN |
| Other Name | SHANNON L MUNDFROM |
| Credential | DPT |
| Practice Address |
20823 Stevens Creek Blvd Suite #200 Cupertino CA 95014-2108 |
| Practice Telephone | 4082526076 |
| Practice Fax Number | 4082521159 |
| Mailing Telephone | 4082526076 |
| Mailing Fax Number | 4082521159 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2012-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT36177 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | PT36177 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376080176 | Shannon Chen | Behavioral Analyst | 8811 S Tacoma Way Ste 206, Lakewood, WA 98499-4595 | 2017-01-31 |
| Street Address |
20823 STEVENS CREEK BLVD SUITE #200 |
| City | CUPERTINO |
| State | CA |
| Zip Code | 95014-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225107337 | Sarah Northrop | Physical Therapist | 20823 Stevens Creek Blvd, Ste 200, Cupertino, CA 95014-2112 | 2006-11-06 |
| 1831610542 | Lyle Anthony Pavuk | Physical Therapist | 20823 Stevens Creek Blvd, #200, Cupertino, CA 95014 | 2017-07-03 |
| 1073064572 | Ashley Elizabeth Kyger Henry | Physical Therapist | 20823 Stevens Creek Blvd, Suite 200, Cupertino, CA 95014-2108 | 2016-10-19 |
| 1023489796 | Tyler Jackson | Physical Therapist | 20823 Stevens Creek Blvd, Cupertino, CA 95014-2108 | 2015-10-07 |
| 1356727788 | Leanne Elyse Pfeifer | Physical Therapist | 20823 Stevens Creek Blvd, Suite 200, Cupertino, CA 95014-2108 | 2015-08-07 |
| 1104207935 | Lily Wu | Physical Therapist | 20823 Stevens Creek Blvd, #200, Cupertino, CA 95014-2108 | 2015-06-17 |
| 1275911679 | Tina Beck | Physical Therapist | 20823 Stevens Creek Blvd, #200, Cupertino, CA 95014-2108 | 2015-05-18 |
| 1295121721 | Diannejoy Kelleher | Physical Therapist | 20823 Stevens Creek Blvd, Suite 200, Cupertino, CA 95014-2108 | 2015-04-10 |
| 1104217660 | Drashti Modi | Physical Therapist | 20823 Stevens Creek Blvd, #200, Cupertino, CA 95014-2108 | 2015-02-05 |
| 1164849279 | Terri Jemison Thornhill | Physical Therapist | 20823 Stevens Creek Blvd, Suite #200, Cupertino, CA 95014-2108 | 2014-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508343500 | Voong Chuang LLC | Podiatrist | 1030 Pennington Ln, Cupertino, CA 95014 | 2018-07-23 |
| 1083114748 | Michelle T Vo | Social Worker | 19000 Homestead Rd Fl 2, Cupertino, CA 95014 | 2018-02-19 |
| 1437686797 | Yi Shou Chang | Acupuncturist | 20600 Mariani Ave Ste D, Cupertino, CA 95014 | 2017-05-17 |
| 1023553732 | Crossover Health Medical Group | Specialist | 19500 E. Homestead Rd., Cupertino, CA 95014 | 2017-01-04 |
| 1831649359 | Victoria Cheong | Occupational Therapist | 10050 N. Wolfe Road, Sw1-190, Cupertino, CA 95014 | 2016-10-07 |
| 1437532678 | Venus Tsai | Optometrist | 10123 North Wolfe Road, Cupertino, CA 95014 | 2015-07-07 |
| 1356731608 | Man-pik Lo, D.d.s., Inc. | Dentist | 20395 Pacifica Drive, Ste. 110, Cupertino, CA 95014 | 2015-01-26 |
| 1760826101 | Seiyu Kageyama | Acupuncturist | 10835 N. Wolfe Road., Cupertino, CA 95014 | 2013-04-27 |
| 1699043802 | Lisa Marie-mone Fourkas | Physical Therapist | 1601 South Deanza Blvd, Suite 111, Cupertino, CA 95014 | 2011-12-02 |
| 1508141193 | Kuo-jui Huang | Acupuncturist | 10325 S. Tantau Ave., Cupertino, CA 95014 | 2011-10-15 |
| Find all providers in zip 95014 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467501445 | Sandra Leigh Chan | Physical Therapist | 10050 N Wolfe Rd, Sw1-190, Cupertino, CA 95014-2519 | 2007-01-09 |
| 1396754396 | Frances Jean Axelrad | Physical Therapist | 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014-2112 | 2006-08-07 |
| 1689669343 | Garrett K Akahoshi | Physical Therapist | 21269 Stevens Creek Blvd Ste 618, Cupertino, CA 95014-5728 | 2005-09-19 |
| 1265903538 | Derek Azzopardi | Physical Therapist | 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014-2112 | 2018-12-16 |
| 1720563547 | Stefanie Dufresne | Physical Therapist | 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014-2112 | 2018-09-27 |
| 1780179721 | Kimberly Jayne Pauley | Physical Therapist | 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014-2112 | 2018-06-22 |
| 1003334939 | Nicole-ha Vo | Physical Therapist | 20823 Stevens Creek Blvd Ste 200, Cupertino, CA 95014-2112 | 2017-08-30 |
| 1588180434 | Alex Liang | Physical Therapist | 10580 S De Anza Blvd, Cupertino, CA 95014-4450 | 2017-08-22 |
| 1831610542 | Lyle Anthony Pavuk | Physical Therapist | 20823 Stevens Creek Blvd, #200, Cupertino, CA 95014 | 2017-07-03 |
| 1104217660 | Drashti Modi | Physical Therapist | 20823 Stevens Creek Blvd, #200, Cupertino, CA 95014-2108 | 2015-02-05 |
| Find all providers in CUPERTINO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.