Active NPI
Jason Shorey
- Physical Therapy Assistant
- Duncannon, PA
National Provider Identifier
1164905501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TEI004733
- Practice address
- 102 Chandra Dr.
Duncannon, PA 17020 - Phone
- (717) 834-4111
- NPI assigned
- Sep 12, 2018
- Last updated
- Sep 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TEI004733 | PA | Primary |
Addresses
Primary practice location
102 Chandra Dr.
Duncannon, PA 17020
Mailing address
102 Chandra Dr
Duncannon, PA 17020-9745
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEI004733 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1164905501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CHANDRA DR",
"city": "DUNCANNON",
"state": "PA",
"postal_code": "170209745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 CHANDRA DR.",
"city": "DUNCANNON",
"state": "PA",
"postal_code": "17020",
"telephone_number": "717-834-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOREY",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-12",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TEI004733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duncannon, PA
- Jill Rombach, PT
- Nicole Theresa Sabol, DPT
- Michael Schrim, PT
- Jessica Schwartz, LIC. AC., MAOM, LMT
- Kathleen A Scioli, PA-C
- Spirit Physician Services Inc (Holy Spirit Family Medicine Duncannon)
- Bernadette Cynthia Stanton, D.C.
- Amy Stoak
- Stonebridge Health & Rehabilitation Center, LLC
- Olivia Nancy Sullivan, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.