Justin Shipe

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT029329 Issued in PA

Practice address

78 Woodbine LN
Danville, PA 17821-8020

Phone

(570) 275-5240

NPI assigned

Feb 23, 2021

Last updated

Mar 1, 2021By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1376137042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 NEW COLUMBIA RD",
            "city": "NEW COLUMBIA",
            "state": "PA",
            "postal_code": "178569326",
            "telephone_number": "570-428-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 WOODBINE LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218020",
            "telephone_number": "570-275-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPE",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Sherrick, PHARM.D.
• Weston Paul Shertzer, D.O.
• Caleb Shervinskie, M.D.
• Aarsh Sheth
• Abigail M. Shields, CRNP
• Gail M. Shirk, CRNP
• Catherine T Shoff, D.O.
• Keyona Shoff
• Shirah Shore, MD
• John Showalter, M.D.

• Physical Therapist in Danville, PA
• Providers in Danville, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.