Individual provider Active NPI

Karen A. Shufelt, PT, DPT

  • Physical Therapist
  • Henrietta, NY
National Provider Identifier
1104961754
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023321 Issued in NY
Practice address
60 Finn Rd
Ste C
Henrietta, NY 14467-9393
Phone
(585) 444-0040
Fax
(585) 444-0052
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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 023321 NY Primary

Addresses

Primary practice location

60 Finn Rd
Ste C
Henrietta, NY 14467-9393

Mailing address

PO Box 212
Mendon, NY 14506-0212
Phone (585) 582-6085

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Canandaigua Physical Therapy P.C. Physical Therapist PastSince Apr 5, 2010 Accepting new patients
Fairport Physical Therapy, PC Physical Therapist Past Accepting new patients
Mendon Physical Therapy Management, PC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1104961754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "MENDON",
            "state": "NY",
            "postal_code": "145060212",
            "telephone_number": "585-582-6085",
            "fax_number": "585-582-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FINN RD",
            "address_2": "STE C",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679393",
            "telephone_number": "585-444-0040",
            "fax_number": "585-444-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUFELT",
        "first_name": "KAREN",
        "middle_name": "A.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrietta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.