Active NPI
Shelby Jarvis
- Rehabilitation Practitioner
- Portage, MI
National Provider Identifier
1467903823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 466 Parkland Ter
Portage, MI 49024-6100 - Phone
- (269) 547-7584
- NPI assigned
- Oct 20, 2016
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
466 Parkland Ter
Portage, MI 49024-6100
Mailing address
466 Parkland Ter
Portage, MI 49024-6100
Phone (269) 547-7584
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabcare Group East LLC | Past | Accepting new patients |
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": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1467903823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "466 PARKLAND TER",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490246100",
"telephone_number": "269-547-7584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "466 PARKLAND TER",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490246100",
"telephone_number": "269-547-7584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "SHELBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
- James E. Hanlon MD, PLC
- James H Simonds DPM PC (Simonds Foot & Ankle Clinics)
- Brandon-Earl S Jaramillo, PHARMD
- Aimee Jarchow
- Jared Hector DDS, PLLC (Johnson Family Dentistry)
- Jason Dopp DDS PLC
- Jayne Fabry, PTC Associates (Professional Therapy Consultation)
- Jeff&Lisa Corp (Seniors Helping Seniors Kalamazoo County)
- Jeffrey J Riggs DDS PC
- Jeffrey Schimp, DDS PC (Schimp Family Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.