Individual provider Active NPI

Pauline Shiver, PT

  • Physical Therapist
  • Morehead City, NC
National Provider Identifier
1598858227
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11338 Issued in NC
Practice address
303 N 35TH St
Morehead City, NC 28557-3105
Phone
(252) 247-2738
Fax
(252) 240-3882
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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 11338 NC Primary

Addresses

Primary practice location

303 N 35TH St
Morehead City, NC 28557-3105

Mailing address

3714 Guardian Ave
Suite E
Morehead City, NC 28557-2974
Phone (252) 247-2101

Other identifiers 2

IdentifierTypeStateIssuer
068V2OtherNCBCBS NC
7212393MedicaidNC

Other names 1

  • Pauline Mary Sweaney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11338NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Rehab and Performance Current Accepting new patients
Atlanta Rehabilitation and Performance Center Past Accepting new patients
Atlanta Rehabilitation and Performance Center PastSince Jun 16, 2003 Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist PastSince Jun 1, 2010 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1598858227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 GUARDIAN AVE",
            "address_2": "SUITE E",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572974",
            "telephone_number": "252-247-2101",
            "fax_number": "252-247-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N 35TH ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573105",
            "telephone_number": "252-247-2738",
            "fax_number": "252-240-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVER",
        "first_name": "PAULINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "068V2",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212393",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINE",
            "last_name": "SWEANEY",
            "middle_name": "MARY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.