Andrew Kyle Shrum, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008972 Issued in KY

Practice address

200 Village LN
Hazard, KY 41701-9416

Phone

(606) 439-4777

Fax

(606) 439-4448

NPI assigned

Nov 2, 2023

Last updated

Nov 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• PT Pros, Inc.

  • Physical Therapist
  • Barbourville, KY
  • NPI 1366549370
  NPD (past)
• PT Pros, Inc.

  • Physical Therapist
  • Leitchfield, KY
  • NPI 1669965802
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1245003110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 CORBIN CENTER DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011895",
            "telephone_number": "606-526-2911",
            "fax_number": "606-526-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VILLAGE LN",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019416",
            "telephone_number": "606-439-4777",
            "fax_number": "606-439-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRUM",
        "first_name": "ANDREW",
        "middle_name": "KYLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "008972",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brain G Short
• Jo'E L. Short
• Wanda Short
• Della Shouse
• Ginger Shouse
• Megan Sims
• Gary B. Sinensky, M.D.
• Suniljit Singh, M.D.
• Carla J Singleton
• Sizemore Therapy Group LLC

• Physical Therapist in Hazard, KY
• Providers in Hazard, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.