Ronald P. Shelton, A.T.,C./L

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

096.000243 Issued in IL

Practice address

4675 Bluestem Rd # 1
Roscoe, IL 61073-7788

Phone

(815) 623-9930

NPI assigned

Apr 11, 2012

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Accelerated Rehabilitation Centers, LTD

  • Physical Therapist
  • Roscoe, IL
  • NPI 1043604184
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1477810745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 SALEM ST",
            "city": "ROCKTON",
            "state": "IL",
            "postal_code": "610722630",
            "telephone_number": "815-624-5040",
            "fax_number": "815-623-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 BLUESTEM RD # 1",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737788",
            "telephone_number": "815-623-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "RONALD",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "A.T.,C./L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.000243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rydell, RN
• Stacy Kristen Schroepfer, MS, LPC, LCPC
• Joan M Schutz
• Steven Schutz, M.A., M.S.ED.
• Dusica Sekulic, MD
• Heather Lynn Shick, D.M.D.
• Robert Dale Shultz, D.D.S.
• Brooke E Silberhorn, DC
• Marlena Lynn Sjostrom
• Stefanie Renee Skaggs, LMT

• Athletic Trainer in Roscoe, IL
• Providers in Roscoe, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.