Active NPI
Shelby Maldonado
- Physical Therapist
- Irving, TX
National Provider Identifier
1467145532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1377472
- Practice address
- 1431 Greenway Dr Ste 500
Irving, TX 75038-2444 - Phone
- (877) 688-2520
- NPI assigned
- Jun 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1377472 | TX | Primary |
Addresses
Primary practice location
1431 Greenway Dr Ste 500
Irving, TX 75038-2444
Mailing address
11411 Luna Rd Apt 18303
Farmers Branch, TX 75234-9471
Phone (714) 519-4787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1377472 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Apple LLC | Current | Accepting new patients |
Locations
1431 Greenway Dr
Ste 500
Irving, TX 75038
Phone (214) 467-9787
Organizations & group practices 1
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": "1685664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1467145532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11411 LUNA RD APT 18303",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752349471",
"telephone_number": "714-519-4787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 GREENWAY DR STE 500",
"city": "IRVING",
"state": "TX",
"postal_code": "750382444",
"telephone_number": "877-688-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "SHELBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-02",
"last_updated": "2023-06-02",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1377472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.