Rie Shimada

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05007992A Issued in IN

Practice address

530 Tanglewood LN
Mishawaka, IN 46545-2627

Phone

(574) 247-4465

NPI assigned

Jan 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Cass County Outpatient Therapy Services

  • Rehabilitation Clinic/Center
  • Cassopolis, MI
  • NPI 1437728292
  NPD Authorized official

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1356645162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10170 CASTNER DR",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491039602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 TANGLEWOOD LN",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452627",
            "telephone_number": "574-247-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMADA",
        "first_name": "RIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007992A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles E Shearer, OD
• Kyle Shelton, DPT
• Dmitriy V Shendel, PHARM D
• Jonathan Neil Shenk, MD
• Edward P. Sheridan, PHARMD, BCPS, BCACP
• Robert J. Shriner Jr., ATC
• Yevheniy Shubin, MD
• Khushpreet Singh Sidhu, DDS
• Kristen Sikorski-Conklin
• Stephen M Simons, MD

• Physical Therapist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.