Healthcare Provider Details

I. General information

NPI: 1063837185
Provider Name (Legal Business Name): DANIEL NORMAN SHEEHY P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2014
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 W 5TH AVE STE C
ESCONDIDO CA
92025-4851
US

IV. Provider business mailing address

1611 S MELROSE DR STE A
VISTA CA
92081-5407
US

V. Phone/Fax

Practice location:
  • Phone: 760-536-2377
  • Fax: 888-415-0603
Mailing address:
  • Phone: 760-536-2377
  • Fax: 888-415-0603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number36095
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: