Jason Brent Shelby, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6067 Issued in TN

Practice address

880 Pickwick St
Unit #3
Savannah, TN 38372

Phone

(731) 925-4596

Fax

(731) 925-7437

NPI assigned

Jul 24, 2006

Last updated

May 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

University of Tennessee, HSC, College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Rehab Associates, PCGroup PAC ID 6507894011, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Rehab Associates, PC

  • Physical Therapist
  • Savannah, TN
  • NPI 1356354070
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1093737710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 PICKWICK ST",
            "address_2": "UNIT #3",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "38372",
            "telephone_number": "731-925-4596",
            "fax_number": "731-925-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 PICKWICK ST",
            "address_2": "UNIT #3",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "38372",
            "telephone_number": "731-925-4596",
            "fax_number": "731-925-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "JASON",
        "middle_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Surgical Center PLLC
• Sherry Ann Schoonover
• Jessica Lee Sexton, APN
• Ashley Shaw, NP
• William Shaw, NP
• Sara Shelton, PHARMD
• Michaela Shoup, PHARMD
• Jenny Young Shutt, D.M.D.
• Martha Cheryl Slatton
• Sleep Analyst, Inc

• Physical Therapist in Savannah, TN
• Providers in Savannah, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.