Active NPI
Ellina Shields, D.P.T.
- Physical Therapist
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016739
- Practice address
- 2655 Commons Blvd
Suite 120
Beavercreek, OH 45431-3773 - Phone
- (937) 320-9131
- NPI assigned
- Feb 24, 2017
- Last updated
- Feb 24, 2017
- 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 | PT016739 | OH | Primary |
Addresses
Primary practice location
2655 Commons Blvd
Suite 120
Beavercreek, OH 45431-3773
Mailing address
2928 Royal Crest CT
Columbus, OH 43235-7263
Phone (614) 260-7445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7109 Hamilton Mason Rd
Suite a
West Chester, OH 45069-1784
Phone (513) 759-6494
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016739 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Therapeutic Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Professional Therapeutic Services Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Physical Therapist | Current | Accepting new patients |
Locations
2655 Commons Blvd
Ste 120
Beavercreek, OH 45431
Phone (937) 320-9131
125 Bridge St
Ste 100
Piqua, OH 45356
Phone (937) 615-2120
1303 W 1st St
Springfield, OH 45504
Phone (847) 485-3481
7109 Hamilton Mason Rd
Ste A
West Chester, OH 45069
Phone (513) 759-6494
Organizations & group practices 4
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 Therapist
- Beavercreek, OH
- NPI 1952348419
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Piqua, OH
- NPI 1023686979
Physical Therapist
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Huber Heights, OH
- NPI 1174529358
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1558801563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2928 ROYAL CREST CT",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432357263",
"telephone_number": "614-260-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 COMMONS BLVD",
"address_2": "SUITE 120",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454313773",
"telephone_number": "937-320-9131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "ELLINA",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-24",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT016739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.