Active NPI
Stephanie Lynn Shamus
- Physical Therapist
- Farmington Hills, MI
National Provider Identifier
1215173752
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 19, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501011988
- Practice address
- 33228 W 12 Mile Rd
Suite 232
Farmington Hills, MI 48334-3309 - Phone
- (313) 832-8008
- NPI assigned
- Jan 6, 2009
- 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 | 5501011988 | MI | Primary |
Addresses
Primary practice location
33228 W 12 Mile Rd
Suite 232
Farmington Hills, MI 48334-3309
Mailing address
33228 W 12 Mile Rd
Suite 232
Farmington Hills, MI 48334-3309
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501011988 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1215173752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33228 W 12 MILE RD",
"address_2": "SUITE 232",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33228 W 12 MILE RD",
"address_2": "SUITE 232",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343309",
"telephone_number": "313-832-8008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMUS",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-06",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.