Laken Shankle
Individual provider Active NPI Pediatric Physical Therapist · Russellville, AR
NPI 1285300566 · NPPES record last updated Aug 18, 2021
Key facts
- NPI
- 1285300566
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- Practice address
- 1915 W Main St
Russellville, AR 72801-2725 - Phone
- (479) 968-1198
- NPI assigned
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- HH Health System - the Orthopaedic Center LLC
Practice addresses (Care Compare)
927 Franklin St SE
FL 2
Huntsville, AL 35801-4305
Phone (256) 539-2728
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230515000192 | AL | Practitioner - Physical Therapist in Private Practice | 1557727773 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HH Health System - the Orthopaedic Center, LLC | Current |
Accepting new patients | |
| The Orthopaedic Center | Current |
Accepting new patients |
Locations
28235 AL Highway 53
Ardmore, AL 35739
Phone (256) 233-2332
927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326
927 Franklin St SE
Huntsville, AL 35801
Phone (256) 428-3000
927 Franklin St SE
Fl 1
Huntsville, AL 35801
927 Franklin St SE
Fl 2
Huntsville, AL 35801
Phone (256) 428-3000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Yes |
Addresses
Primary practice location
1915 W Main St
Russellville, AR 72801-2725
Mailing address
500 E 3Rd St
Russellville, AR 72801-5204
Phone (479) 968-1198
Other providers in Russellville, AR
- John Paul Senn
- Serenity Evolution Care LLC
- Rose Lee Shaddon
- Casi Shadowens
- Nancy T Shaikh
- Kyleigh Mae Shannon
- Lindsey Sharp
- Adrienne Shelton
- Theresa Shenora
- Brittany Nicole Shepard
All providers in Russellville, AR · Pediatric Physical Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.