Jessica Shifflett

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-007811 Issued in KY

Practice address

1751 Scottsville Rd Ste 9
Bowling Green, KY 42104-3357

Phone

(270) 796-6800

NPI assigned

Dec 10, 2019

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)

Enrolled

State licenses

Practice roles

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.

• Shift Pediatric Physical Therapy

  • Early Intervention Provider Agency
  • Bowling Green, KY
  • NPI 1659061232
  NPD Authorized official
• Bluegrass Outpatient Center of Bowling Green, L.L.C.

  dba Bluegrass Outpatient Center

  • Rehabilitation Clinic/Center
  • Bowling Green, KY
  • NPI 1760411342

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1538706445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2697",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421027697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 SCOTTSVILLE RD STE 9",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043357",
            "telephone_number": "270-796-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 S Main St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "KY",
            "postal_code": "421342370",
            "country_code": "US",
            "telephone_number": "270-586-8947",
            "fax_number": "270-813-1173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIFFLETT",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT-007811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Shelton
• Shelley Shepherd, MA, LPCC
• Maggie Susan Sherrard, DO
• Nirav A Sheth, MD
• James Shields
• Thomas Shifflett
• Shift Pediatric Physical Therapy
• Jessica Shiver
• Tanya Shoaib, M.D.
• Chelsey Shofner, RBT

• Physical Therapist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.