Individual provider Active NPI

Nolan R Shifren, P.T.

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1144331109
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5624 Issued in AZ
Practice address
16256 N Oracle Rd
Suite 120
Tucson, AZ 85739-4382
Phone
(520) 572-6540
Fax
(520) 572-6540
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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 5624 AZ Primary

Addresses

Primary practice location

16256 N Oracle Rd
Suite 120
Tucson, AZ 85739-4382

Mailing address

PO Box 9102
Tucson, AZ 85738-0102
Phone (520) 572-6540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060109001103 AZ Practitioner - Physical Therapist in Private Practice 1557384294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16256 N Oracle Rd
Suite 120
Tucson, AZ 85739-4382
Phone (520) 572-6540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shifren Physical Therapy Physical Therapist CurrentSince Mar 2, 2009 Accepting new patients
W & W Rehab Services,L.L.C. Physical Therapist PastSince Sep 15, 1999 Accepting new patients
Ridgeview Physical Therapy PLLC Physical Therapist Past Accepting new patients

Locations

16256 N Oracle Rd
Ste 120
Tucson, AZ 85739
Phone (520) 572-6540

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1144331109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9102",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857380102",
            "telephone_number": "520-572-6540",
            "fax_number": "520-572-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16256 N ORACLE RD",
            "address_2": "SUITE 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857394382",
            "telephone_number": "520-572-6540",
            "fax_number": "520-572-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFREN",
        "first_name": "NOLAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.