Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shanika Packard

Individual provider Rehabilitation Practitioner · NPI 1134633969

Shanika Packard is a Rehabilitation Practitioner in Ontario, California. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1500 S Haven Ave Ste 250
Ontario, CA 91761-2973
Phone: (909) 749-5204
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Wilson Cir, Boulder City, NV 89005-4401 — (702) 294-7100

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1134633969
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 1, 2017
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020
Mailing address1500 S Haven Ave Ste 250, Ontario, CA 91761-2973

Other providers in Ontario