Active NPI
Jazmin A Shields, PT, DPT
- Physical Therapist
- Lower Burrell, PA
National Provider Identifier
1023872306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT032091
- 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
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 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT032091 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabcare Group East, LLC | Physical Therapist | Current | Accepting new patients |
| Rehabcare Group East, LLC | Current | 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.
-
- Rehabilitation Clinic/Center
- Johnstown, PA
- NPI 1770537821
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Waco, TX
- NPI 1215806898
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.