Timothy James Shutes Sr., PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT3592 Issued in FL

Practice address

901 45TH St
Mangonia Park, FL 33407-2413

Phone

(561) 844-7878

NPI assigned

Dec 11, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1396383154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10393 SE COCONUT LN",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334554215",
            "telephone_number": "561-827-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 45TH ST",
            "city": "MANGONIA PARK",
            "state": "FL",
            "postal_code": "334072413",
            "telephone_number": "561-844-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTES",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_suffix": "Sr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT3592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinay R Saxena, MD
• Avraham David Schlager, MD
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• Coretta Scott
• Claire Elizabeth Shannon, MD
• Charles Smith, LMHC
• South Florida Trauma and Acute Care Surgery PLLC
• Jordan Anna Spratlin
• Maya Svaighert, APRN
• Tenet Florida Physician Services II, LLC

• Orthopedic Physical Therapist in Mangonia Park, FL
• Providers in Mangonia Park, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.