Susan Shopiro, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 21651 Issued in FL

Practice address

217 Boston Ave
Altamonte Springs, FL 32701-4700

Phone

(407) 260-0817

NPI assigned

Oct 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1164722377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 SUN COVE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347462776",
            "telephone_number": "407-201-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 BOSTON AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014700",
            "telephone_number": "407-260-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOPIRO",
        "first_name": "SUSAN",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 21651",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00243800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Hawkes Shephard, MD
• Amy Sheppard
• Sheridan Healthcorp Inc
• Hiroko Shimoda, D.O.M., L.AC.
• Parisa Shoeibiomrani, OD
• Ethan Shopovick
• Kacie Nicole Short, OTA/L
• Shri Nakoda LLC
• Shubh Podiatry PA
• Sohail Mohiuddin Siddiqui, D.P.M.

• Physical Therapy Assistant in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.