Shenandoah Lee Ware, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT782 Issued in AR

Practice address

3700 Haines Rd N Apt 8
St Petersburg, FL 33704-1150

Phone

(870) 577-3264

NPI assigned

Jul 14, 2005

Last updated

Jan 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shan Lee Ware Former name

Medicare fee-for-service enrollment

Enrolled in AR, FL2 enrollments

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

83.26 of 100Reported as group

Quality

86.58

Improvement activities

40

Cost

68.79

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032
  Medicare reassignment NPD
• Northwest Benton County Physician Services LLC

  • Family Medicine Physician
  • Bentonville, AR
  • NPI 1871553073
  Medicare reassignment NPD
• Northwest Arkansas Hospitals LLC

  dba Northwest Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Springdale, AR
  • NPI 1780270371
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1558360354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 HAINES RD N APT 8",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041150",
            "telephone_number": "870-577-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 HAINES RD N APT 8",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041150",
            "telephone_number": "870-577-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "SHENANDOAH",
        "middle_name": "LEE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138734721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAN",
            "last_name": "WARE",
            "middle_name": "LEE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Denise Ward, LMHC
• Kyle Ward, DC
• Nizammah S Ward, MS
• Sarah Elizabeth Ward, DC
• Virginia Ann Ward, MD
• Luz Nolasco Warfield, MASTER OF SCIENCE
• Cherie Lynne Waring, MSPT
• Scott Warkow
• Lindsay Warner, OTR/L
• Drew E Warnick, MD

• Physical Therapist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.