Tyler Shamblin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003877 Issued in WV

Practice address

313 Maccorkle Ave SW
South Charleston, WV 25303-1263

Phone

(304) 746-3704

Fax

(304) 744-5891

NPI assigned

Nov 1, 2017

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

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

JC Edwards School of Medicine, Marshall University, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Settlement Physical TherapyGroup PAC ID 7113914631, shared by 5 NPIs, 97 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.35 of 100Reported as group

Quality

87.12

Promoting interoperability

100

Improvement activities

40

Cost

70.71

Medicare enrollment (NPD)

Enrolled

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.

• First Settlement Physical Therapy

  • Physical Therapy Clinic/Center
  • Charleston, WV
  • NPI 1093202665

  Physical Therapist

  Medicare reassignment NPD
• First Settlement Physical Therapy

  • Physical Therapy Clinic/Center
  • Vienna, WV
  • NPI 1780634246

  Physical Therapist

  Medicare reassignment NPD
• First Settlement Phycial Therapy

  • Physical Therapist
  • Beckley, WV
  • NPI 1619763547
  NPD
• First Settlement Physical Therapy

  • Physical Therapist
  • Ravenswood, WV
  • NPI 1851787246
  NPD

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1417469362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ROSEMAR RD STE 1",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261047609",
            "telephone_number": "304-693-2781",
            "fax_number": "304-693-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031263",
            "telephone_number": "304-746-3704",
            "fax_number": "304-744-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMBLIN",
        "first_name": "TYLER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "003877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis Shaffer
• Jasmine Shaffer
• Lauren Shaffer
• Virginia Shahan
• Kimalisa Kay Shamblin, BA, RT(R)(CT), RVT
• Bassam Nicholas Shamma, MD
• Stephanie Shamma, APRN, MSN FNP-BC.
• Melissa Shaw
• Margie Shawver
• Ashley Sheets

• Physical Therapist in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.