Shelby Celeste Panzino

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3119027 Issued in TX

Practice address

160 W Magnolia Ave Ste 2
Fort Worth, TX 76104-7613

Phone

(817) 335-7946

Fax

(817) 335-7947

NPI assigned

Jun 10, 2016

Last updated

Nov 26, 2021By the provider in NPPES

Sex

Female

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 TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Crossroads Physical Therapy Limited Partnership

  dba Green Oaks Physical Therapy

  • Physical Therapist
  • Dallas, TX
  • NPI 1558306399
  Medicare reassignment NPD
• Crossroads Physical Therapy Limited Partnership

  dba Green Oaks Physical Therapy

  • Physical Therapist
  • Burleson, TX
  • NPI 1083923916
  NPD
• Crossroads Physical Therapy Limited Partnership

  dba Green Oaks PT - Ft. Worth

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1124065578
  NPD

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1336598382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 S CARRIER PKWY",
            "address_2": "STE 470",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526644",
            "telephone_number": "972-262-9972",
            "fax_number": "972-262-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W MAGNOLIA AVE STE 2",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047613",
            "telephone_number": "817-335-7946",
            "fax_number": "817-335-7947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3824 S Carrier Pkwy",
            "address_2": "Ste 470",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750526644",
            "country_code": "US",
            "telephone_number": "972-262-9972",
            "fax_number": "972-262-9986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANZINO",
        "first_name": "SHELBY",
        "middle_name": "CELESTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3119027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Pannell, DNP, CRNA
• Tamitra Sherell Pannell
• Panther City Eye Care PLLC (Panther City Eye Care)
• Matei Panturu, DO
• Kelly Panuska
• Frank J Papa, D.O.
• Tracy Elizabeth Papa, DO
• Dean N Papaliodis, M.D.
• Harry Papasozomenos, M.D.
• Delaney Keegan Papin, APRN

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.