NPIMap

Organization Active NPI

Just Kids Rehabilitation Services LLC

  • Physical Therapist
  • New Castle, PA
National Provider Identifier
1093989709
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016373 Issued in PA
Legal business name
JUST KIDS REHABILITATION SERVICES LLC
Practice address
1750 New Butler Rd
Suite D
New Castle, PA 16101-3184
Phone
(724) 971-1021
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Mr. William J Shuttleworth, P.T
Title
Physical Therapist
Phone
(724) 971-1021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT016373 PA Primary

Addresses

Primary practice location

1750 New Butler Rd
Suite D
New Castle, PA 16101-3184

Mailing address

PO Box 594
Wampum, PA 16157-0594
Phone (724) 630-5607

Other identifiers 1

IdentifierTypeStateIssuer
001961402MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1093989709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 594",
            "city": "WAMPUM",
            "state": "PA",
            "postal_code": "161570594",
            "telephone_number": "724-630-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 NEW BUTLER RD",
            "address_2": "SUITE D",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013184",
            "telephone_number": "724-971-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST KIDS REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "SHUTTLEWORTH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "724-971-1021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001961402",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.