Jill S Shull, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010149L Issued in PA

Practice address

571 Pone LN
Franklin, PA 16323-3553

Phone

(724) 458-5850

Fax

(724) 458-4402

NPI assigned

Jun 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194754515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201B ERIE ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271610",
            "telephone_number": "724-458-5850",
            "fax_number": "724-458-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 PONE LN",
            "city": "FRANKLIN",
            "state": "PA",
            "postal_code": "163233553",
            "telephone_number": "724-458-5850",
            "fax_number": "724-458-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULL",
        "first_name": "JILL",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT010149L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008163930002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Scott
• SCS Opco LLC
• Security Systems of Pennsylvania
• Samantha Shevitz
• Wendy Marie Shevock, M.S.CCC-SLP
• Brienna Lyn Simons, ATC
• Dylan Skibinski, DPT
• Christie Slottje
• Autumn Smith, CRNP
• Donald Smith

• Physical Therapist in Franklin, PA
• Providers in Franklin, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.