SHIRLEY WACHISEE (DPT) – Physical Therapist, NPI 1861597429

SHIRLEY WACHISEE (DPT) is a healthcare provider. based in Diamond bar, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT25465 (CA). The NPI Number for SHIRLEY WACHISEE (DPT) is 1861597429

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
SHIRLEY WACHISEE (DPT)
NPI
1861597429
Phone
(909) 861-3511
Address
21015 PATHFINDER ROAD, SUITE 100
Enumeration Date
14 September 2006
Last Update Date
7 March 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9098613511
Graduation Year
2000 (26 years ago)
PAC ID
2668630831
Group Practice PAC ID
4284536814
Professional Enrollment ID
I20120220000095
Address ID
CA917654002DI21015RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Loading map...

Provider Addresses for SHIRLEY WACHISEE (DPT)

  • Pathfinder Road, Diamond Bar, Los Angeles County, California, 91765, United States

    DIAMOND BAR, CA 917653950

    Phone: (909) 861-3511

    Fax: (909) 860-7900

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120220000095IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes1,56134$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes89924$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes44320$0
97530Therapy procedure using functional activities5624$0
97162Evaluation for physical therapy, typically 30 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 91765)

Loading plans...

Provider's Procedures

SHIRLEY WACHISEE (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97001Physical therapy evaluation4441

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284536814View full group profile
NameSpecialtyState
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for SHIRLEY WACHISEE (DPT) in U.S. healthcare records?
The official identifier for SHIRLEY WACHISEE (DPT) is NPI 1861597429.
Active or inactive — what applies to SHIRLEY WACHISEE (DPT)?
You should see SHIRLEY WACHISEE (DPT) as active in CMS-hosted NPPES data.
How would a patient describe SHIRLEY WACHISEE (DPT)'s focus?
For SHIRLEY WACHISEE (DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is SHIRLEY WACHISEE (DPT) associated with Diamond Bar?
Public fields place SHIRLEY WACHISEE (DPT) around Diamond Bar, California. Always confirm the exact site before visiting.
Does SHIRLEY WACHISEE (DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

Pathfinder Road, Diamond Bar, Los Angeles County, California, 91765, United States
NPI: 1255301461
24205, Delta Drive, Diamond Bar, Los Angeles County, California, 91765, United States
NPI: 1639109333

LINK ELLIOTT (DPT)

Physical Therapist
Valley Vista Drive, Diamond Bar, Los Angeles County, California, 91765, United States
NPI: 1588769228

STEVE AVILES (MPT, ATC)

Physical Therapist
Pathfinder Road, Diamond Bar, Los Angeles County, California, 91765, United States
NPI: 1255436895

ELIZABETH SOUZA (DPT, CHT)

Physical Therapist
Valley Vista Drive, Diamond Bar, Los Angeles County, California, 91765, United States
NPI: 1295830925

GARY M SOUZA (DPT, OCS)

Physical Therapist
Pathfinder Road, Diamond Bar, Los Angeles County, California, 91765, United States
NPI: 1043315765
17018 COLIMA RD APT 63
NPI: 1942306345
23432, Robinbrook Place, Diamond Bar, Los Angeles County, California, 91765, United States
NPI: 1114018504

CHRISTIAN LAMA MEDINA (RPT)

Physical Therapist
Diamond Bar Boulevard, Diamond Bar, Los Angeles County, California, 91765, United States
NPI: 1104913789