Shandrea Jean Hubbs, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

8984 Issued in SC

Practice address

920 Houndslake Dr
Aiken, SC 29803-5924

Phone

(803) 716-9723

NPI assigned

Nov 8, 2013

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

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Pelvic Prime, LLC

  • Orthopedic Physical Therapist
  • Aiken, SC
  • NPI 1346818911
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1487083549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 HOUNDSLAKE DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035924",
            "telephone_number": "971-344-1024",
            "fax_number": "803-845-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 HOUNDSLAKE DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035924",
            "telephone_number": "803-716-9723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Glen Creek Rd NW",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973043058",
            "country_code": "US",
            "telephone_number": "503-990-8627",
            "fax_number": "503-990-8630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "943 Pine Log Rd",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298037330",
            "country_code": "US",
            "telephone_number": "803-649-9797",
            "fax_number": "803-642-2759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBS",
        "first_name": "SHANDREA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2021-09-14",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8984",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "60237",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "8984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Donald Hopkins, D.C., D.A.C.N.B.
• Horse Creek Academy
• Susan Houck, LMSW
• Courtney Elaine Howell, LMSW
• Khin Linn Htet
• Jill Hucks, MSP, CCC-SLP
• Dana S Hudson, PT
• David S Hudson, DMD
• Janayah Hudson, RN
• Jennifer Gaspar Hudson, PT

• Orthopedic Physical Therapist in Aiken, SC
• Providers in Aiken, SC by specialty
• Orthopedic Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.