John Montgomery Shields II, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1600 Issued in NC

Practice address

116 Lane Dr
Trinity, NC 27370-9343

Phone

(336) 434-1706

NPI assigned

Nov 19, 2012

Last updated

Nov 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Monty Shields Professional name

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": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1548504285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 4TH ST",
            "city": "SPENCER",
            "state": "NC",
            "postal_code": "281591622",
            "telephone_number": "704-212-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LANE DR",
            "city": "TRINITY",
            "state": "NC",
            "postal_code": "273709343",
            "telephone_number": "336-434-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "JOHN",
        "middle_name": "MONTGOMERY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "1600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONTY",
            "last_name": "SHIELDS",
            "prefix": "MR.",
            "credential": "LPTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Physical Therapy Assistant in Trinity, NC
• Providers in Trinity, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.