Shelley S Earing, MPT OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT00002526 Issued in WA

Practice address

2102 Carriage Dr SW
Suite B
Olympia, WA 98502-5700

Phone

(360) 866-0408

Fax

(360) 866-1165

NPI assigned

Sep 21, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Steamboat Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Olympia, WA
  • NPI 1912943762
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1316933898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 CARRIAGE DR SW",
            "address_2": "SUITE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025700",
            "telephone_number": "360-866-0408",
            "fax_number": "360-866-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 CARRIAGE DR SW",
            "address_2": "SUITE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025700",
            "telephone_number": "360-866-0408",
            "fax_number": "360-866-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARING",
        "first_name": "SHELLEY",
        "middle_name": "S",
        "credential": "MPT OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00002526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8341083",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "56853",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Eakins
• Ear Nose and Throat Associates PLLC
• Ear Nose and Throat Associates Southwest Inc PS
• Ear Nose and Throat Associates Southwest Inc PS
• Tarah Jade Earhart, LMHC
• Taylor Easley
• Jenae Eastman, MC
• Eastside Urgent Care Dentistry
• Alice Audrey Eaton, MD
• Jeremy Joseph Eaton, DO

• Orthopedic Physical Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.