Active NPI
Judy Lynn Sholes, PTA
- Physical Therapy Assistant
- Hebron, IN
National Provider Identifier
1023352895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06002946A
- Practice address
- 14020 North County Line Road
Hebron, IN 46341 - Phone
- (219) 381-1339
- NPI assigned
- Nov 19, 2012
- Last updated
- Nov 19, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06002946A | IN | Primary |
Addresses
Primary practice location
14020 North County Line Road
Hebron, IN 46341
Mailing address
14020 North County Line Road
Hebron, IN 46341
Phone (219) 381-1339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06002946A | IN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1023352895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14020 NORTH COUNTY LINE ROAD",
"city": "HEBRON",
"state": "IN",
"postal_code": "46341",
"telephone_number": "219-381-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14020 NORTH COUNTY LINE ROAD",
"city": "HEBRON",
"state": "IN",
"postal_code": "46341",
"telephone_number": "219-381-1339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOLES",
"first_name": "JUDY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06002946A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hebron, IN
- Rci (WRS), LLC. (RUSH Physical Therapy)
- Robert W Moses OD Professional Corp. (Moses EyeCare Centers)
- Donald Clyde Roberts, DDS.
- Rush-Select Holdings, LLC (Rush Physical Therapy)
- Select Medical Rehabilitation Clinics Inc (Select Physical Therapy)
- Danielle Shomer, LCSW
- Lisa A Spies, ATC
- Katelyn Stahley, PT
- Scott Vanvlymen, R.PH.
- Walgreen Co (Walgreens #12074)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.