Active NPI
Andrea Cox Shukla, PT
- Physical Therapist
- Carlisle, PA
National Provider Identifier
1013944131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016337
- Practice address
- 850 Walnut Bottom Rd
Suite 306
Carlisle, PA 17013-3632 - Phone
- (717) 241-2211
- Fax
- (717) 241-2240
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016337 | PA | Primary |
| Physical Therapist | 225100000X | DAPT0001305 | PA |
Addresses
Primary practice location
850 Walnut Bottom Rd
Suite 306
Carlisle, PA 17013-3632
Mailing address
850 Walnut Bottom Rd
Suite 306
Carlisle, PA 17013-3632
Phone (717) 241-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098790U30 | Other | PA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
850 Walnut Bottom Rd
Suite 306
Carlisle, PA 17013-3615
Phone (717) 241-2211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DAPT0001305 | PA | MD | Physical Therapist |
| PT016337 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Spine Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
850 Walnut Bottom Rd
Ste 306
Carlisle, PA 17013
Phone (717) 241-2211
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Carlisle, PA
- NPI 1811095631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1013944131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 WALNUT BOTTOM RD",
"address_2": "SUITE 306",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133632",
"telephone_number": "717-241-2211",
"fax_number": "717-241-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 WALNUT BOTTOM RD",
"address_2": "SUITE 306",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133632",
"telephone_number": "717-241-2211",
"fax_number": "717-241-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUKLA",
"first_name": "ANDREA",
"middle_name": "COX",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT016337",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "DAPT0001305",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "098790U30",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.