Isaac James Shetler

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019171 Issued in OH

Practice address

1130 Parkview Dr
Troy, OH 45373-7579

Phone

(614) 582-1216

NPI assigned

Feb 13, 2017

Last updated

May 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620518400000",
    "number": "1184163917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 PARKVIEW DR",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453737579",
            "telephone_number": "614-582-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 PARKVIEW DR",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453737579",
            "telephone_number": "614-582-1216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3995 Berlin Station Rd",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430159408",
            "country_code": "US",
            "telephone_number": "614-582-1216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHETLER",
        "first_name": "ISAAC",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-13",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019171",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT006333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee L Shannon, LICENSED SOCIAL WORK
• Marissa Anne Anne Sharpe
• Kristina Shaw
• Brittany Shellabarger
• Amber Sheridan, COTA/L
• Jerry Lee Shields Jr., COTA
• Kelsey Shilt, PA-C
• Marie Shurts
• Nancy Marie Sigafoos, LPN
• Erica Marie Simcoe, LPN

• Physical Therapist in Troy, OH
• Providers in Troy, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.