Active NPI
Anita Shen, PT
- Physical Therapist
- Chapel Hill, NC
National Provider Identifier
1124324173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P12880
- Practice address
- 101 Manning Dr
Dept of Physical Therapy
Chapel Hill, NC 27514-4220 - Phone
- (919) 966-2056
- Fax
- (919) 966-0348
- NPI assigned
- Feb 8, 2011
- 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 | P12880 | NC | Primary |
Addresses
Primary practice location
101 Manning Dr
Dept of Physical Therapy
Chapel Hill, NC 27514-4220
Mailing address
211 Friday Center Dr
Suite 2091, Room 2102
Chapel Hill, NC 27517-9499
Phone (919) 966-0420
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
| License | State | Type | Specialty |
|---|---|---|---|
| P12880 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1124324173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 FRIDAY CENTER DR",
"address_2": "SUITE 2091, ROOM 2102",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275179499",
"telephone_number": "919-966-0420",
"fax_number": "919-966-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANNING DR",
"address_2": "DEPT OF PHYSICAL THERAPY",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "919-966-2056",
"fax_number": "919-966-0348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEN",
"first_name": "ANITA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-08",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P12880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.