Shannon Blake Middleton, BS, MPT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10466 Issued in OH

Practice address

1325 E Kemper Rd
Ste 100
Cincinnati, OH 45246-3921

Phone

(513) 823-4247

NPI assigned

Jul 14, 2005

Sex

Female

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 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

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.

• RX Kinetics LLC

  • Physical Therapy Clinic/Center
  • Springdale, OH
  • NPI 1346943966

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Orthopaedic Consultants of Cincinnati, Inc.

  • Orthopaedic Surgery Physician
  • Cincinnati, OH
  • NPI 1396792529
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1245239078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E KEMPER RD",
            "address_2": "STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463921",
            "telephone_number": "513-823-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E KEMPER RD",
            "address_2": "STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463921",
            "telephone_number": "513-823-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "SHANNON",
        "middle_name": "BLAKE",
        "name_prefix": "Mrs.",
        "credential": "BS, MPT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT10466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00395152",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2565988",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory S Middleton, MD
• Jessica Ann Middleton
• Judy Nicole Middleton, PRS
• Macy L Middleton
• Maurice Middleton
• Shirley Ann Middleton, LICDC, LSW
• Middletown Senior Center Inc
• Hana Elizabeth Midtlien
• Midwest Care Kenwood LLC
• Midwest Community Support LLC

• Physical Therapist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.