Active NPI
Marianne S. Shirley, PT
- Physical Therapist
- North Canton, OH
National Provider Identifier
1184872319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 05334
- Practice address
- 220 Applegrove St NE
North Canton, OH 44720-1610 - Phone
- (330) 966-9166
- Fax
- (330) 966-1135
- NPI assigned
- Aug 29, 2008
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | PT 05334 | OH | Primary |
Addresses
Primary practice location
220 Applegrove St NE
North Canton, OH 44720-1610
Mailing address
220 Applegrove St NE
North Canton, OH 44720-1610
Phone (330) 966-9166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SH4105421 | Other | OH | PT PROVIDER # |
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 |
|---|---|---|---|
| PT 05334 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul Kroh Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1184872319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 APPLEGROVE ST NE",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447201610",
"telephone_number": "330-966-9166",
"fax_number": "330-966-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 APPLEGROVE ST NE",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447201610",
"telephone_number": "330-966-9166",
"fax_number": "330-966-1135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRLEY",
"first_name": "MARIANNE",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-29",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT 05334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT PROVIDER #",
"identifier": "SH4105421",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.