Active NPI
Jennifer Shin, LPT
- Physical Therapist
- McKinney, TX
National Provider Identifier
1215912746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1158593
- Practice address
- 2295 Bloomdale Rd
McKinney, TX 75071 - Phone
- (972) 562-0190
- NPI assigned
- Dec 7, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | 1158593 | TX | Primary |
Addresses
Primary practice location
2295 Bloomdale Rd
McKinney, TX 75071
Mailing address
1005 Midwestern Pkwy
Wichita Falls, TX 76302-2211
Phone (940) 322-0771
Other practice location 1
1005 Midwestern Pkwy
Wichita Falls, TX 76302-2211
Phone (940) 322-0771
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T3832 | Other | TX | BCBS PROVIDER # |
| 1158593 | Other | TX | HUMANA ID # |
| 1045698 | Other | TX | BLUE LINK # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1158593 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1215912746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 MIDWESTERN PKWY",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763022211",
"telephone_number": "940-322-0771",
"fax_number": "940-766-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 BLOOMDALE RD",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75071",
"telephone_number": "972-562-0190"
}
],
"practiceLocations": [
{
"address_1": "1005 Midwestern Pkwy",
"address_purpose": "LOCATION",
"city": "Wichita Falls",
"state": "TX",
"postal_code": "763022211",
"country_code": "US",
"telephone_number": "940-322-0771",
"fax_number": "940-766-4943",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIN",
"first_name": "JENNIFER",
"credential": "LPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1158593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "8T3832",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA ID #",
"identifier": "1158593",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE LINK #",
"identifier": "1045698",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.