Michaelene Shutts, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

026811 Issued in NY

Practice address

384 East Ave Ste B
Rochester, NY 14607-1909

Phone

(585) 720-9608

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Freedom Therapy, Occupational Therapy, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Rochester, NY
  • NPI 1144358672
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1164554374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 EAST AVE STE B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071909",
            "telephone_number": "585-720-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 EAST AVE STE B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071909",
            "telephone_number": "585-720-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTTS",
        "first_name": "MICHAELENE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "026811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "RB6104",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Shumyatcher
• Taylor Victoria Shunk, DO
• Amy Shurtliff, DPT
• Ellen Shustorovich, PH.D.
• Adam M Shutts, MSPT
• Denise Michelle Shy, REGISTERED NURSE
• Shylasree Krishnan, Physician, PLLC
• Shuhui Si, NP
• Sibley Nursing Personnel
• Sibley Nursing Personnel Service, Inc.

• Physical Medicine & Rehabilitation Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.