Susan Kay Shelton, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160001014 Issued in IL

Practice address

17510 Hill Way
Lake Oswego, OR 97035-5414

Phone

(503) 686-9592

NPI assigned

Sep 24, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1346558343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 HILL WAY",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355414",
            "telephone_number": "503-686-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 HILL WAY",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355414",
            "telephone_number": "503-686-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160001014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephani Jene Shaver, LCSW
• Kandi Denise Shearer, M.S.
• Melinda Anne Shearer, DPT
• Chera Sheets, RT
• Susan Shelbourne, LPC
• Brendon J Shibley
• Amanda Jean Shinpaugh, PA-C
• Ren Shirai, DO
• Trent M Shoemaker, D.C.
• Shokunin Performance Rehab LLC

• Physical Therapy Assistant in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.