Provider Demographics
NPI:1427880657
Name:SHUMATE, BRETT C (DPT)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:C
Last Name:SHUMATE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 STERLING PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-7328
Mailing Address - Country:US
Mailing Address - Phone:916-543-7900
Mailing Address - Fax:
Practice Address - Street 1:801 STERLING PKWY STE 150
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-7328
Practice Address - Country:US
Practice Address - Phone:916-965-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA306692225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist