Active NPI
Patrick L Shumrick, DPT
- Physical Therapist
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT04938
- Practice address
- 4815 Cooper Rd Ste 102
Cincinnati, OH 45242-7076 - Phone
- (513) 891-0934
- Fax
- (513) 891-1323
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- 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 | PT04938 | OH | Primary |
Addresses
Primary practice location
4815 Cooper Rd Ste 102
Cincinnati, OH 45242-7076
Mailing address
PO Box 30155
Cincinnati, OH 45230-0155
Phone (513) 891-0934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2376549 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9402 Towne Square Ave
Suite C45242
Blue Ash, OH 45242-6909
Phone (513) 505-7319
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT04938 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Balance Related Disorders and Rehabilitation Inc | Current | Accepting new patients |
Locations
9402 Towne Square Ave
Ste C
Blue Ash, OH 45242
Phone (513) 891-0934
9402 Towne Square Ave
Ste C45242
Blue Ash, OH 45242
Phone (513) 231-2700
7685 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 231-2700
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.
-
- Physical Therapy Clinic/Center
- Cincinnati, OH
- NPI 1669446944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1215901673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30155",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452300155",
"telephone_number": "513-891-0934",
"fax_number": "513-891-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 COOPER RD STE 102",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452427076",
"telephone_number": "513-891-0934",
"fax_number": "513-891-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMRICK",
"first_name": "PATRICK",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT04938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2376549",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.