Individual provider Active NPI

Shane Matthew Inskeep, PT

  • Physical Therapist
  • Washington CH, OH
National Provider Identifier
1235119231
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12584 Issued in NC
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2265801MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100707000471 NC Practitioner - Physical Therapist in Private Practice 7911038914 Reassigns benefits to 2 organizations

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
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

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 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12584NCMDPhysical Therapist
08939OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Physical Therapist CurrentSince Jul 1, 2016 Accepting new patients
Carolina Rehabilitation Inc Physical Therapist CurrentSince May 30, 2010 Accepting new patients
Emergeortho PA CurrentSince Jul 1, 2016 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.