Individual provider Active NPI

Chloe Shinsky

  • Physical Therapy Assistant
  • Miami Lakes, FL
National Provider Identifier
1114528759
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
29992 Issued in FL
Practice address
15291 NW 60TH Ave Ste 101
Miami Lakes, FL 33014-2459
Phone
(305) 705-7702
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 29992 FL Primary

Addresses

Primary practice location

15291 NW 60TH Ave Ste 101
Miami Lakes, FL 33014-2459

Mailing address

9388 SW 178TH St
Palmetto Bay, FL 33157-5747
Phone (786) 375-1554

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29992FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1114528759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9388 SW 178TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575747",
            "telephone_number": "786-375-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15291 NW 60TH AVE STE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142459",
            "telephone_number": "305-705-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINSKY",
        "first_name": "CHLOE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "29992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.