Individual provider Active NPI

Sindie L. Shollenberger, M.S.P.T.

  • Physical Therapist
  • Geneva, NY
National Provider Identifier
1497787550
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
016690-1 Issued in NY
Practice address
500 Liberty CMNS
Geneva, NY 14456-2049
Phone
(315) 781-1010
Fax
(315) 781-1722
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 016690-1 NY Primary

Addresses

Primary practice location

500 Liberty CMNS
Geneva, NY 14456-2049

Mailing address

500 Liberty CMNS
Geneva, NY 14456-2049
Phone (315) 781-1010

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
016690-1NYMDPhysical Therapist
016690NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prescription Fitness Physical Therapy, P.C. Physical Therapist PastSince Dec 15, 2003 Accepting new patients
Fadden & Associates Physical Therapy PLLC Physical Therapist PastSince May 1, 2000 Accepting new patients

Organizations & group practices 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497787550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LIBERTY CMNS",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562049",
            "telephone_number": "315-781-1010",
            "fax_number": "315-781-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LIBERTY CMNS",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562049",
            "telephone_number": "315-781-1010",
            "fax_number": "315-781-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLLENBERGER",
        "first_name": "SINDIE",
        "middle_name": "L.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "016690-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.