Individual provider Active NPI

Robert A Shropshire III

  • Physical Therapy Assistant
  • Orofino, ID
National Provider Identifier
1316219934
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA-040 Issued in ID
Practice address
1204 Shriver Rd
Orofino, ID 83544-9033
Phone
(208) 476-4568
Fax
(208) 476-3614
NPI assigned
Jan 27, 2012
Sex
Male
Sole proprietor
No

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

LicenseStateTypeSpecialty
PTA-040IDMDPhysical Therapy Assistant

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA-040 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

1204 Shriver Rd
Orofino, ID 83544-9033

Mailing address

PO Box 2462
Orofino, ID 83544-2462

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 27, 2012.

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1316219934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2462",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835442462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 SHRIVER RD",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835449033",
            "telephone_number": "208-476-4568",
            "fax_number": "208-476-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROPSHIRE",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "PTA-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orofino, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.