Timothy Marshall Shreve, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20104 Issued in FL

Practice address

9100 Merrill Rd
Suite #10
Jacksonville, FL 32225-4358

Phone

(904) 725-9994

Fax

(904) 725-9138

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Northern Westchester Physcial & Occupational Therapy

  • Specialist
  • Mount Kisco, NY
  • NPI 1265505358
  NPD (past)
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1366588964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 DUNSTABLE LANE",
            "city": "PONTA VEDRA",
            "state": "FL",
            "postal_code": "320817050",
            "telephone_number": "904-217-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 MERRILL RD",
            "address_2": "SUITE #10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322254358",
            "telephone_number": "904-725-9994",
            "fax_number": "904-725-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREVE",
        "first_name": "TIMOTHY",
        "middle_name": "MARSHALL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887834000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karly Stuart Shreders, LMHC
• Anil Prasad Shrestha, MD
• Ashik Shrestha, D.O.
• Rabi Shrestha, MD
• Shumneva Shrestha, MD
• Shri Balaji Medical Services
• Shriji Swami LLC
• Shriji Swami LLC
• Ryan R Shrode, ARNP
• Girish S Shroff, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.