Active NPI
Nancy J. Shriver, PT
- Geriatric Physical Therapist
- Hilo, HI
National Provider Identifier
1124337415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT-3282
- Practice address
- 1333 Waianuenue Ave
Hilo, HI 96720-1202 - Phone
- (808) 961-6644
- NPI assigned
- Oct 4, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-34481 | CA | |
| Geriatric Physical Therapist | 2251G0304X | PT-3282 | HI | Primary |
Addresses
Primary practice location
1333 Waianuenue Ave
Hilo, HI 96720-1202
Mailing address
1665 Wailuku Dr
Hilo, HI 96720-1223
Phone (209) 679-4668
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 |
|---|---|---|---|
| PT-34481 | CA | MD | Physical Therapist |
| PT-3282 | HI | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1124337415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 WAILUKU DR",
"city": "HILO",
"state": "HI",
"postal_code": "967201223",
"telephone_number": "209-679-4668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 WAIANUENUE AVE",
"city": "HILO",
"state": "HI",
"postal_code": "967201202",
"telephone_number": "808-961-6644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRIVER",
"first_name": "NANCY",
"middle_name": "J.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT-34481",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "HI",
"license": "PT-3282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.