Active NPI
Shane Matthew Inskeep, PT
- Physical Therapist
- Washington CH, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12584
- Practice address
- 408 E Court St
Washington CH, OH 43160 - Phone
- (740) 335-4129
- Fax
- (740) 335-9625
- NPI assigned
- Jan 18, 2006
- Last updated
- Jun 1, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 08939 | OH | |
| Physical Therapist | 225100000X | 12584 | NC | Primary |
Addresses
Primary practice location
408 E Court St
Washington CH, OH 43160
Mailing address
9811 Black Bear Holw SE
Winnabow, NC 28479-5142
Phone (910) 371-3244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2265801 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12584 | NC | MD | Physical Therapist |
| 08939 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Physical Therapist | Current | Accepting new patients |
| Carolina Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
| Emergeortho PA | Current | Accepting new patients |
Locations
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
902 N Howe St
Southport, NC 28461
Phone (910) 457-4789
18 Doctors Cir
Supply, NC 28462
Phone (910) 754-6141
20 Medical Campus Dr NW
Ste 204
Supply, NC 28462
Phone (910) 612-1002
2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534
3787 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 763-2361
8115 Market St
Ste 108
Wilmington, NC 28411
Phone (910) 763-2361
Interoperability endpoints
- shane.inskeep.1@847.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Brunswick P.T. Associates, Edwards & Associates P.T.
- Physical Therapist
- Supply, NC
- NPI 1427142561
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275350400000",
"number": "1235119231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9811 BLACK BEAR HOLW SE",
"city": "WINNABOW",
"state": "NC",
"postal_code": "284795142",
"telephone_number": "910-371-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 E COURT ST",
"city": "WASHINGTON CH",
"state": "OH",
"postal_code": "43160",
"telephone_number": "740-335-4129",
"fax_number": "740-335-9625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INSKEEP",
"first_name": "SHANE",
"middle_name": "MATTHEW",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2010-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "08939",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "12584",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2265801",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington CH, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.