Holly Louise Shellenberger, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027844 Issued in NY

Practice address

203 State St
Ogdensburg, NY 13669-1403

Phone

(315) 393-2024

Fax

(315) 393-2025

NPI assigned

Sep 26, 2006

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

Other names 1

• Holly Louise Bickelhaupt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1376644021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 STATE ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691403",
            "telephone_number": "315-393-2024",
            "fax_number": "315-393-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 STATE ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691403",
            "telephone_number": "315-393-2024",
            "fax_number": "315-393-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLENBERGER",
        "first_name": "HOLLY",
        "middle_name": "LOUISE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "BICKELHAUPT",
            "middle_name": "LOUISE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joie Sharpe
• Eileen Joyce Sharrow, NDTR
• Heather L Shaver, PEER SUPPORT
• Jennifer Anne Shaver, RN BSN
• Bryan Patrick Shea, PHD
• Megan Kathryn Shepard
• Kandy L Shoen, PEER SUPPORT
• Traci L Showers, PRS
• Pranvera Shteto, NP
• Crystal L Simmons, FPMHNP

• Physical Therapist in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.