Individual provider Active NPI

Jazmin A Shields, PT, DPT

  • Physical Therapist
  • Lower Burrell, PA
National Provider Identifier
1023872306
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT032091 Issued in PA
Practice address
100 Little Dr
Lower Burrell, PA 15068-3345
Phone
(724) 339-1071
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT032091 PA Primary

Addresses

Primary practice location

100 Little Dr
Lower Burrell, PA 15068-3345

Mailing address

246 Old Indiana Rd
Blairsville, PA 15717-6903
Phone (724) 762-6654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250513000334 PA Practitioner - Physical Therapist in Private Practice 5294252383 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT032091PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Group East, LLC Physical Therapist CurrentSince Apr 14, 2025 Accepting new patients
Rehabcare Group East, LLC CurrentSince Apr 14, 2025 Accepting new patients

Locations

110 W Wissahickon Ave
Flourtown, PA 19031
Phone (215) 248-7801

1537 Washington Rd
Pittsburgh, PA 15228
Phone (412) 341-4400

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1023872306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 OLD INDIANA RD",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157176903",
            "telephone_number": "724-762-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LITTLE DR",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150683345",
            "telephone_number": "724-339-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "JAZMIN",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Burrell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.