Linda K Shamblin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1973 Issued in AR

Practice address

17848 456TH Ave
Castlewood, SD 57223-5212

Phone

(605) 376-0690

NPI assigned

Mar 4, 2010

Last updated

Mar 4, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1245553254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17848 456TH AVE",
            "city": "CASTLEWOOD",
            "state": "SD",
            "postal_code": "572235212",
            "telephone_number": "605-376-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17848 456TH AVE",
            "city": "CASTLEWOOD",
            "state": "SD",
            "postal_code": "572235212",
            "telephone_number": "605-376-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBLIN",
        "first_name": "LINDA",
        "middle_name": "K",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "1973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Castlewood Ambulance District
• Castlewood Assisted Living, LLC (Castlewood Assisted Living)
• Castlewood School District 28 1
• Prairie Lakes Health Care System Inc (Sanford Health Castlewood Clinic)

• Physical Therapy Assistant in Castlewood, SD
• Providers in Castlewood, SD by specialty
• Physical Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.