Active NPI
Shakirah Bolanle Apena, PTA
- Physical Therapy Assistant
- Cypress, TX
National Provider Identifier
1265933204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2129516
- Practice address
- 15423 Hope Shadow CT
Cypress, TX 77429-6237 - Phone
- (757) 777-1861
- NPI assigned
- Feb 26, 2018
- Last updated
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 2129516 | TX | Primary |
Addresses
Primary practice location
15423 Hope Shadow CT
Cypress, TX 77429-6237
Mailing address
15423 Hope Shadow CT
Cypress, TX 77429-6237
Phone (757) 777-1861
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 |
|---|---|---|---|
| 2129516 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519603200000",
"number": "1265933204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15423 HOPE SHADOW CT",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774296237",
"telephone_number": "757-777-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15423 HOPE SHADOW CT",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774296237",
"telephone_number": "757-777-1861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APENA",
"first_name": "SHAKIRAH",
"middle_name": "BOLANLE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-26",
"last_updated": "2018-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2129516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.