Active NPI
Claire Michele Shelton, PTA
- Physical Therapy Assistant
- Carbondale, IL
National Provider Identifier
1265558449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 200 N Emerald LN
Suite 1a
Carbondale, IL 62901-2100 - Phone
- (618) 549-9449
- NPI assigned
- Mar 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | IL | Primary |
Addresses
Primary practice location
200 N Emerald LN
Suite 1a
Carbondale, IL 62901-2100
Mailing address
8812 Old Highway 13
Murphysboro, IL 62966-5586
Phone (618) 684-5055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160003536 | IL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Innovations LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Carbondale, IL
- NPI 1023023579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265558449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8812 OLD HIGHWAY 13",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "629665586",
"telephone_number": "618-684-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N EMERALD LN",
"address_2": "SUITE 1A",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629012100",
"telephone_number": "618-549-9449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "CLAIRE",
"middle_name": "MICHELE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
- Shawnee Health Service and Development Corp (Lewis School Health Center)
- Shawnee Health Service and Development Corp (Shawnee Health Pharmacy Carbondale)
- Shawnee Health Service and Development Corp (Carbondale Middle School Health Center)
- Shawnee Health Service and Development Corp (Shawnee Health Care, OB/GYN SUD)
- Shawnee Hills Oral & Maxillofacial Surgery, SC
- Socorro J Shelton, MD
- Samantha Sheppard, LCSW, LICSW
- Keni Sherrell, LPN
- Daniel Sherwood, PA
- Roger Sebastian Shinnerl, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.