Active NPI
Laken Shankle
- Pediatric Physical Therapist
- Russellville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Practice address
- 1915 W Main St
Russellville, AR 72801-2725 - Phone
- (479) 968-1198
- NPI assigned
- Aug 18, 2021
- Last updated
- Aug 18, 2021
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
927 Franklin St SE
FL 2
Huntsville, AL 35801-4305
Phone (256) 539-2728
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Orthopaedic Center | Current | Accepting new patients | |
| HH Health System - the Orthopaedic Center, LLC | Current | Accepting new patients |
Locations
28235 AL Highway 53
Ardmore, AL 35739
Phone (256) 943-1426
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
927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/
Organizations & group practices 2
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.
-
dba The Orthopaedic Center
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1376220822
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1205880291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1285300566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E 3RD ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728015204",
"telephone_number": "479-968-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 W MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012725",
"telephone_number": "479-968-1198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKLE",
"first_name": "LAKEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.