Jourdan Kalli Shockey, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1180950 Issued in TX

Practice address

411 N Washington Ave
Suite 4000
Dallas, TX 75246-1713

Phone

(214) 820-1884

Fax

(214) 820-1654

NPI assigned

Dec 26, 2012

Sex

Female

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

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1538405352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 MARKVILLE DR",
            "address_2": "#415",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433590",
            "telephone_number": "214-793-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE",
            "address_2": "SUITE 4000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461713",
            "telephone_number": "214-820-1884",
            "fax_number": "214-820-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKEY",
        "first_name": "JOURDAN",
        "middle_name": "KALLI",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1180950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inna Shmerlin, M.D,
• Abdullah Shoaib, M.D.
• Jay Ryan Shobe, CRNA
• Monica Shoberg, PTA
• Larry Wayne Shock Jr., CRNA
• Martha Caroline Shockley, LPC-A
• Neyssa Marie Shockley, M.ED
• Kerry Shoemake, AGACNP
• Craig Thomas Shoemaker, M.D.
• Melissa Shoemaker, MD

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.