Individual provider Active NPI

Troy Shultz

  • Physical Therapist
  • McVeytown, PA
National Provider Identifier
1518368240
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010804L Issued in PA
Practice address
2109 US Highway 522 S
MC Veytown, PA 17051-9429
Phone
(814) 542-8630
Fax
(814) 542-2828
NPI assigned
Sep 12, 2014
Last updated
Jan 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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 PT010804L PA Primary

Addresses

Primary practice location

2109 US Highway 522 S
MC Veytown, PA 17051-9429

Mailing address

2109 US Highway 522 S
MC Veytown, PA 17051-9429
Phone (814) 542-8630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603002168 PA Practitioner - Physical Therapist in Private Practice 9133452345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14330 Croghan Pike
Mount Union, PA 17066-8838
Phone (814) 542-8630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010804LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients

Locations

14330 Croghan Pike
Mount Union, PA 17066
Phone (814) 542-3127

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1518368240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 US HIGHWAY 522 S",
            "city": "MC VEYTOWN",
            "state": "PA",
            "postal_code": "170519429",
            "telephone_number": "814-542-8630",
            "fax_number": "814-542-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 US HIGHWAY 522 S",
            "city": "MC VEYTOWN",
            "state": "PA",
            "postal_code": "170519429",
            "telephone_number": "814-542-8630",
            "fax_number": "814-542-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "TROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT010804L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McVeytown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.