Individual provider Active NPI

Shelley L Hockensmith, P.T.

  • Neurology Physical Therapist
  • Tucson, AZ
National Provider Identifier
1427096312
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
LPT-006669 Issued in AZ
Practice address
140 W Fort Lowell Rd
Tucson, AZ 85705-3812
Phone
(520) 591-5346
Fax
(888) 780-0154
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6669 AZ
Neurology Physical Therapist 2251N0400X LPT-006669 AZ Primary

Addresses

Primary practice location

140 W Fort Lowell Rd
Tucson, AZ 85705-3812

Mailing address

5357 N Camino de Oeste
Tucson, AZ 85745-9704
Phone (520) 820-9924

Other practice location 1

2919 E Grant Rd
Tucson, AZ 85716-2717
Phone (520) 326-2782

Other names 1

  • Mrs. Shelley L Regan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060620000058 AZ Practitioner - Physical Therapist in Private Practice 7416969167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurofit Networks IncGroup PAC ID 9638464639, 5 clinicians

Practice addresses (Care Compare)

4343 N Oracle Rd
Suite 173
Tucson, AZ 85705-1764
Phone (520) 591-5821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-006669AZMDNeurology Physical Therapist
6669AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurofit Networks Inc CurrentSince Oct 1, 2019 Accepting new patients
Neuro Aquatic Rehabilitation Center Neurology Past Accepting new patients

Locations

3849 E Broadway Blvd
Tucson, AZ 85716
Phone (520) 235-5259

140 W Fort Lowell Rd
Tucson, AZ 85705
Phone (520) 591-5346

4343 N Oracle Rd
Ste 173
Tucson, AZ 85705
Phone (520) 591-5346

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1427096312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5357 N CAMINO DE OESTE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857459704",
            "telephone_number": "520-820-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W FORT LOWELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053812",
            "telephone_number": "520-591-5346",
            "fax_number": "888-780-0154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2919 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857162717",
            "country_code": "US",
            "telephone_number": "520-326-2782",
            "fax_number": "520-326-3552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOCKENSMITH",
        "first_name": "SHELLEY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6669",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "AZ",
            "license": "LPT-006669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "REGAN",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.