Tiara D. Shipe, P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT019919 Issued in PA

Practice address

845 Water Street
Northumberland, PA 17857-0064

Phone

(570) 473-3912

Fax

(570) 473-8731

NPI assigned

Jun 19, 2009

Last updated

Oct 21, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shipe Physical Therapy LLCGroup PAC ID 7012308406, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shipe Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Sunbury, PA
  • NPI 1760158562
  Medicare reassignment Care Compare group NPD
• Shoch Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Sunbury, PA
  • NPI 1487990875
  NPD
• Beth a Carr PT, Inc

  • Physical Therapy Clinic/Center
  • Northumberland, PA
  • NPI 1548660319
  NPD (past)
• Beth a. Carr PT Inc

  • Physical Therapist
  • Northumberland, PA
  • NPI 1609835651
  NPD (past)

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1457588113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "address_2": "845 WATER STREET",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "178570064",
            "telephone_number": "570-473-3912",
            "fax_number": "570-473-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 WATER STREET",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "178570064",
            "telephone_number": "570-473-3912",
            "fax_number": "570-473-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPE",
        "first_name": "TIARA",
        "middle_name": "D.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT019919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Roberts
• Kristy A Sands
• Robert E Schaffer-Neitz, MS, CCC-SLP
• Doris Ella Seasholtz
• Shea Alana Sechman, LCSW
• Benjamin Edward Shoch, MA, NCC, LPC
• April C Showver, MOTR/L
• Tiffanie Mae Snyder, RN
• Sharon Beth Stuck
• Sun Home Health Services, Inc. (SUN Home Health Hospice)

• Physical Medicine & Rehabilitation Physician in Northumberland, PA
• Providers in Northumberland, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.