Tiffany Shelley

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA008911 Issued in AZ

Practice address

10613 N 23Rd St
Phoenix, AZ 85028-3102

Phone

(602) 531-6306

NPI assigned

Sep 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rising Star Therapy Specialist, LCC

  • Speech-Language Pathologist
  • Phoenix, AZ
  • NPI 1134125354
  NPD (past)

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1154936326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 E IRONWOOD DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251615",
            "telephone_number": "520-780-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10613 N 23RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283102",
            "telephone_number": "602-531-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA008911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Soap",
            "affiliation": "N",
            "address_1": "10613 N 23rd St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850283102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shell Chiropractic, Inc
• Nurit Shell
• Shelley K Nakamura MD PLLC
• Shelley K. Nakamura,MD, PLLC
• Christina L Shelley, NP
• Jade Michelle Shelton, LIAC
• Leslie Ann Shelton, DO
• Rahmar Shelton, NP
• Shenell Shelton
• Ariel Shemesh

• Physical Therapy Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.