Active NPI
Mark D Shiffler, PT
- Physical Therapist
- Lincoln, NE
National Provider Identifier
1306160684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 677
- Practice address
- 555 S 70TH St
Lincoln, NE 68510-2462 - Phone
- (402) 219-7498
- NPI assigned
- Mar 16, 2010
- Sex
- Male
- 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 Therapist | 225100000X | 677 | NE | Primary |
Addresses
Primary practice location
555 S 70TH St
Lincoln, NE 68510-2462
Mailing address
8055 O St
Suite 300
Lincoln, NE 68510-2564
Phone (402) 421-0904
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1306160684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8055 O ST",
"address_2": "SUITE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102564",
"telephone_number": "402-421-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S 70TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685102462",
"telephone_number": "402-219-7498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIFFLER",
"first_name": "MARK",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-16",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.