Active NPI
Shira Lynne Lipperini Ramirez, PT, DPT
- Physical Therapist
- Hawley, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015812
- Practice address
- 2489 Route 6 Ste 6
Hawley, PA 18428-6144 - Phone
- (570) 390-7900
- Fax
- (570) 390-7901
- NPI assigned
- Apr 14, 2021
- Last updated
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015812 | PA | Primary |
Addresses
Primary practice location
2489 Route 6 Ste 6
Hawley, PA 18428-6144
Mailing address
54 Stony Pine Rd
Honesdale, PA 18431-6546
Phone (570) 854-5644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015812 | Other | PA | STATE LICENSE |
Other names 1
- Shira Lynne Lipperini
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2489 Route 6
Suite 6
Hawley, PA 18428-6144
Phone (570) 390-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015812 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elmtree Wellness Center, Inc. | Current | Accepting new patients | |
| Comprehensive Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Ellen Memorial, LLC | Past | Accepting new patients |
Locations
2489 Route 6
Ste 6
Hawley, PA 18428
Phone (570) 218-7909
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ellen Memorial Health Care Center | Skilled nursing facility | W-2 Managing Employee (100%) | May 31, 2019 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Ellen Memorial Health Care Center
- Skilled Nursing Facility
- Honesdale, PA
- NPI 1942763297
W-2 Managing Employee
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Hawley, PA
- NPI 1497293518
-
- Physical Therapist
- Forest City, PA
- NPI 1679546113
-
dba Ellen Memorial Health Care Center
- Skilled Nursing Facility
- Honesdale, PA
- NPI 1942763297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1538749346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 STONY PINE RD",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184316546",
"telephone_number": "570-854-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2489 ROUTE 6 STE 6",
"city": "HAWLEY",
"state": "PA",
"postal_code": "184286144",
"telephone_number": "570-390-7900",
"fax_number": "570-390-7901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPERINI RAMIREZ",
"first_name": "SHIRA",
"middle_name": "LYNNE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-14",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT015812",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "015812",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHIRA",
"last_name": "LIPPERINI",
"middle_name": "LYNNE",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hawley, PA
- Lake Region Functional Therapy LLC
- Lake Region Urgent Care, PC
- Lakeside Discount Pharmacy Inc.
- Lakota Healthcare (The Singer Group, LLC)
- Samantha Lecce
- Krystal A Lloyd, M.S. CCC-SLP
- Lords Valley Village Pharmacy Inc
- Ellen Marie Lucca, FNP-C
- Emily Martone, PT
- McNamara's Hearing Solutions (Miracle Ear Hearing Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.