SHANE RAVENELLE (NPI# 1780229898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780229898 |
| Entity Type | Individual |
| Full Name | SHANE RAVENELLE |
| Credential | PT, DPT |
| Practice Address |
24301 Muirlands Blvd Ste T Lake Forest CA 92630-3627 |
| Mailing Address |
3230 E Imperial Hwy Ste 100 Brea CA 92821-6735 |
| Practice Telephone | 9492710012 |
| Practice Fax Number | 9492710013 |
| Mailing Telephone | 7149888110 |
| Mailing Fax Number | 7149888111 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 297650 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
24301 MUIRLANDS BLVD STE T |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194244491 | Christina Nguyen | Physical Therapist | 24301 Muirlands Blvd Ste T, Lake Forest, CA 92630-3627 | 2017-09-18 |
| 1205393477 | Jacob Castersen | Physical Therapist | 24301 Muirlands Blvd Ste T, Lake Forest, CA 92630-3627 | 2019-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845882 | Benjamin Philip Gerami | Physical Therapist | 22762 Aspan St Ste 205, Lake Forest, CA 92630-1604 | 2020-09-10 |
| 1255972535 | Posture Palooza | Physical Therapist | 840 S Waukegan Rd Ste 212, Lake Forest, IL 60045-2619 | 2019-10-08 |
| 1801455316 | Katherine Michelle Benavente | Physical Therapist | 21241 Calle Sendero, Lake Forest, CA 92630-2134 | 2019-06-08 |
| 1679048086 | Rendell Pineda | Physical Therapist | 1101 Pembridge Dr, Lake Forest, IL 60045-4222 | 2018-10-11 |
| 1881169746 | Corinne Manny | Physical Therapist | 800 N Westmoreland Rd Ste 200, Lake Forest, IL 60045-1687 | 2018-10-08 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1639673130 | Invictus Sports Medicine LLC | Physical Therapist | 28430 N Ballard Dr, Lake Forest, IL 60045-4508 | 2018-03-20 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1134634603 | Kwangyo Kang | Physical Therapist | 23401 El Toro Rd Ste 200, Lake Forest, CA 92630-6923 | 2017-12-06 |
| 1194244491 | Christina Nguyen | Physical Therapist | 24301 Muirlands Blvd Ste T, Lake Forest, CA 92630-3627 | 2017-09-18 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on SHANE RAVENELLE.
| 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.