Individual provider Active NPI

Georgia Shiloh, PT, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1154965028
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01917600 Issued in NJ
Practice address
2101 Chestnut St Unit 1510
Philadelphia, PA 19103-3138
Phone
(215) 740-4343
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT026784 PA
Physical Therapist 225100000X 40QA01917600 NJ Primary

Addresses

Primary practice location

2101 Chestnut St Unit 1510
Philadelphia, PA 19103-3138

Mailing address

2101 Chestnut St Unit 1510
Philadelphia, PA 19103-3138
Phone (215) 740-4343

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1154965028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CHESTNUT ST UNIT 1510",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033138",
            "telephone_number": "215-740-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CHESTNUT ST UNIT 1510",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033138",
            "telephone_number": "215-740-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILOH",
        "first_name": "GEORGIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026784",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01917600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.