Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON BOUSHEHRI PT, DPT
NPI 1346073988
Physical Therapist in San Diego, CA

Active since August 20, 2024Accepts Medicare Assignment
3665 RUFFIN RD STE 304, SAN DIEGO, CA 92123(800) 974-4378(630) 515-1536 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 12, 2026, Aug 20, 2024 (2 updates tracked since 2024).

About Shannon Boushehri Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON BOUSHEHRI PT, DPT (NPI 1346073988) is an individual physical therapist in San Diego, California, licensed in California (306394) and active in the NPI registry since August 2024. She maintains a secondary practice location in San Diego and is a graduate of Other (2024).

NPPES Registry Identity

NPI1346073988
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSHANNON BOUSHEHRICredential: PT, DPT
Location Address3665 RUFFIN RD STE 304San Diego, CA 92123-1848
Mailing Address24014 W Renwick Rd Ste 206Plainfield, IL 60544-8711 · (800) 974-4378 · Fax (630) 515-1536
Fax(630) 515-1536
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 20, 2024
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
NPI 1346073988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CA · 306394
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3665 RUFFIN RD STE 304, San Diego, CA 92123

Secondary Practice Location 1

Location 13959 Ruffin Rd Ste JSan Diego, CA 92123-1830 · Phone (858) 279-5570

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shannon Boushehri Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264972611
PECOS Enrollment IDI20240911004131

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
356 services16 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
105 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3665 RUFFIN RD STE 304
SAN DIEGO, CA 92123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Boushehri's NPI number?

The NPI number for Shannon Boushehri is 1346073988. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Shannon Boushehri located?

Shannon Boushehri practices at 3665 Ruffin Rd Ste 304, San Diego, CA 92123. The listed phone number is (800) 974-4378.

What is Shannon Boushehri's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Shannon Boushehri enrolled in Medicare?

Yes. Shannon Boushehri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shannon Boushehri was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.