Individual provider Active NPI

Shandli Blaine Joyce, PT, DPT, ATC, LMT

  • Physical Therapist
  • Newburgh, IN
National Provider Identifier
1639501059
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05011220A Issued in IN
Practice address
4711 Vann Rd
Newburgh, IN 47630-7447
Phone
(812) 760-1344
NPI assigned
Aug 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT21103924 IN
Physical Therapist 225100000X 05011220A IN Primary
Athletic Trainer 2255A2300X 36001922A IN

Addresses

Primary practice location

4711 Vann Rd
Newburgh, IN 47630-7447

Mailing address

4711 Vann Rd
Newburgh, IN 47630-7447
Phone (812) 760-1344

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
05011220AINMDPhysical Therapist
36001922AINMDAthletic Trainer
MT21103924INMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nurturing Mama, LLC Physical Therapist CurrentSince Apr 20, 2025 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: referral3@prorehab-east.direct.kno2fy.com

Organizations & group practices 2

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": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1639501059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 VANN RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307447",
            "telephone_number": "812-760-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 VANN RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307447",
            "telephone_number": "812-760-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYCE",
        "first_name": "SHANDLI",
        "middle_name": "BLAINE",
        "credential": "PT, DPT, ATC, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT21103924",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011220A",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001922A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2025; 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.