Shawn Tiffin Hubbard, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21049 Issued in FL

Practice address

10660 Old Saint Augustine Rd Ste PT
Jacksonville, FL 32257-1076

Phone

(904) 619-5831

Fax

(866) 225-4350

NPI assigned

Sep 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1191024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1437346830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1975",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301621975",
            "telephone_number": "904-619-5831",
            "fax_number": "866-225-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10660 OLD SAINT AUGUSTINE RD STE PT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571076",
            "telephone_number": "904-619-5831",
            "fax_number": "866-225-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "SHAWN",
        "middle_name": "TIFFIN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-29",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21049",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zhigao Huang, MD
• Karen Ann Hubbard, DDS
• Linda Shecole Hubbard, LMHC
• Lisa Hubbard, LMHC
• Shannon Hubbard
• Huber Matos MD PA
• Kristen Marie Huber, APRN
• Danielle Huckaba, MS CCC-SLP
• Nancy Elaine Hucker, LMHC
• Margaret Louise Hucks, REGISTERED DIETITIAN

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.