Shires Rehab LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHIRES REHAB LLC

Practice address

180 Mount Pelia Rd
Martin, TN 38237-3812

Phone

(731) 660-2665

NPI assigned

Mar 27, 2020

Organization subpart

No

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

Authorized official

Name

Jay Shires, MD

Title

MD

Phone

(731) 660-2665

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1528696473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11942",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383080132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MOUNT PELIA RD",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373812",
            "telephone_number": "731-660-2665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Jeffrey Ct",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383051726",
            "country_code": "US",
            "telephone_number": "731-616-3524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHIRES REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "SHIRES",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "731-660-2665",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsey Brooke Scott, COTA/L
• Seeds of Hope Counseling, PLLC
• Stephanie Sheridan
• Rebecca Sherman
• Ashley Shipp, LPN
• James W Shore, MD
• Madison Shumake, CNM, WHNP-BC
• Baylee Smith
• Brian Wray Smith, PHYSICAL THERAPIST
• Clinton Smith, BCBA-D

• Family Medicine Physician in Martin, TN
• Providers in Martin, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.