Shelton Movement and Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SHELTON MOVEMENT AND PERFORMANCE

Practice address

163 Stratford CT Ste 135
Winston Salem, NC 27103-1830

Phone

(336) 933-1544

NPI assigned

May 28, 2019

Organization subpart

No

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

Authorized official

Name

Bradford Tyler Shelton, DPTNPI 1699293654

Title

Owner

Phone

(336) 933-1544

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradford Tyler Shelton, DPT

  • Physical Therapist
  • Winston Salem, NC
  • NPI 1699293654
  NPD (past) Authorized official

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1639736374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 STRATFORD CT STE 135",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031830",
            "telephone_number": "336-933-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 STRATFORD CT STE 135",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031830",
            "telephone_number": "336-933-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON MOVEMENT AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-933-1544",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott A Sheldon, MD
• Amelia Dawn Shell
• Kellie Breawn Shell, MD
• Tonja Rene Shell, FNP-BC, ACNP-BC
• Latoshia Shells
• Bradford Tyler Shelton, DPT
• Burton Otis Shelton, FNP C
• Hunter Gabel Shelton, DO
• Ivory Janee' Shelton, M.D.
• Lisa Patrice Shelton, MS

• Physical Therapy Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.