Individual provider Active NPI

Shawna Rae Ritter, PT

  • Physical Therapist
  • Saint Marys, PA
National Provider Identifier
1639215742
Registry record updated Sep 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011972L Issued in PA
Practice address
164 Saint Augustine Rd
Saint Marys, PA 15857-5904
Phone
(814) 834-4648
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2024

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 PT011972L PA Primary

Addresses

Primary practice location

164 Saint Augustine Rd
Saint Marys, PA 15857-5904

Mailing address

164 Saint Augustine Rd
Saint Marys, PA 15857-5904
Phone (814) 834-4648

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT011972LPAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1639215742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 SAINT AUGUSTINE RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158575904",
            "telephone_number": "814-834-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SAINT AUGUSTINE RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158575904",
            "telephone_number": "814-834-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER",
        "first_name": "SHAWNA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT011972L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2024; 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.