Shannon Diane Christianson, DPT

Clinic/Center, Physical Therapy in Long Beach, CA. Individual provider (NPI-1).

NPI number1003001975

StatusActive

Last updated in NPPESNov 28, 2011

Details

NPI: 1003001975
Entity type: Individual (NPI-1)
Name: Shannon Diane Christianson
Credential: DPT
Sex: Female
Sole proprietor: Yes
Enumeration date: Sep 12, 2007
Last updated: Nov 28, 2011

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QP2000X	Clinic/Center, Physical Therapy	–	–	Yes

Practice location

3900 E Pacific Coast Hwy
Long Beach, CA 90804-2013

Phone 562-986-2375

Mailing address

3900 E Pacific Coast Hwy
Long Beach, CA 90804-2013

Is something wrong?

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Other Physical Therapy Clinic/Center providers in Long Beach, CA

All 19 Physical Therapy Clinic/Center providers in Long Beach · All 16,615 providers in Long Beach

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