Fred R Shirley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13162

Practice address

2780 N Florida Ave Unit 7-8
Hernando, FL 34442-4390

Phone

(352) 322-6093

Fax

(352) 897-6093

NPI assigned

Sep 9, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles (1 of 2)

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wil-Power Therapy Associates, LLC

  • Physical Therapist
  • Dunnellon, FL
  • NPI 1164079489

  FL, Physical Therapist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1316668148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6843 N CITRUS AVE",
            "address_2": "BLDG 2, UNIT T",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34428",
            "telephone_number": "352-322-6093",
            "fax_number": "352-794-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 N FLORIDA AVE UNIT 7-8",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "344424390",
            "telephone_number": "352-322-6093",
            "fax_number": "352-897-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "FRED",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-09",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "PT13162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Madison Taylor Schires
• Heather Leigh Smith, MS
• Jessica Nicole Smith, PHARMD
• Kevin Wayne Snodgrass, COTA/L
• Source Route Products, LLC
• Savanah Kay Starkey, PHARMD

• All providers in Hernando, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.