Jenny Poulin Shimmel, MS,PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 16130 Issued in FL

Practice address

805 W River Heights Ave
Tampa, FL 33603-3123

Phone

(813) 368-1645

NPI assigned

May 4, 2007

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 names 1

• Jenny Claire Poulin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326250200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W RIVER HEIGHTS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033123",
            "telephone_number": "813-368-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W RIVER HEIGHTS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033123",
            "telephone_number": "813-368-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMMEL",
        "first_name": "JENNY",
        "middle_name": "POULIN",
        "credential": "MS,PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 16130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "POULIN",
            "middle_name": "CLAIRE",
            "credential": "MS, PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.