Individual provider Active NPI

Shira Lynne Lipperini Ramirez, PT, DPT

  • Physical Therapist
  • Hawley, PA
National Provider Identifier
1538749346
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015812 Issued in PA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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 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

IdentifierTypeStateIssuer
015812OtherPASTATE LICENSE

Other names 1

  • Shira Lynne Lipperini Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902000396 PA Practitioner - Physical Therapist in Private Practice 6709852601 Reassigns benefits to 1 organization

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
Elmtree Wellness Center IncGroup PAC ID 4486939022, 14 clinicians

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

LicenseStateTypeSpecialty
PT015812PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elmtree Wellness Center, Inc. CurrentSince Jun 15, 2021 Accepting new patients
Comprehensive Physical Therapy, Inc Physical Therapist PastSince Oct 1, 1997 Accepting new patients
Ellen Memorial, LLC PastSince May 31, 2019 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.

FacilityTypeRoleSince
Ellen Memorial Health Care CenterHonesdale, PA, CCN 395357 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.

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.

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

Sources for this page

Verify at the official NPI Registry.