Shellie Lee Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SHELLIE LEE INC

Doing business as

Fyzical Therapy and Balance Center Bridgeville

Practice address

3127 Washington Pike Ste 200
Bridgeville, PA 15017-1440

Phone

(919) 961-3921

NPI assigned

Oct 14, 2022

Last updated

Oct 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shellie Lee Spero

Title

Owner

Phone

(919) 961-3921

Specialties & licenses 1

Addresses

Other names 1

• Fyzical Therapy and Balance Center Bridgeville Doing business as

Locations

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1205552932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 WASHINGTON PIKE",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171440",
            "telephone_number": "919-961-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 WASHINGTON PIKE STE 200",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171440",
            "telephone_number": "919-961-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLIE LEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "SPERO",
        "authorized_official_first_name": "SHELLIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-961-3921"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy and Balance Center Bridgeville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sumiyah Shaikh, PA-C
• Madison Shaner, LPC
• Abby Sharrer
• Amy W Shelhamer, OTR
• Susan F Shelkons
• Sindiziwe Shongwe
• Rachel Marie Shuba
• Joan M Siebert, LPC
• Stephanie Silver, CRNP
• Kimberly Simmons

• Physical Therapy Clinic/Center in Bridgeville, PA
• Providers in Bridgeville, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.