Natalie Rene Shirley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4767 Issued in AR

Practice address

408 SW 2ND St
Corning, AR 72422-2707

Phone

(870) 520-8761

NPI assigned

Sep 14, 2022

Last updated

Sep 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1639891849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HARB ST",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724222631",
            "telephone_number": "870-335-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 SW 2ND ST",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724222707",
            "telephone_number": "870-520-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "NATALIE",
        "middle_name": "RENE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "4767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carletta Denise Scobey, CCC-SLP
• Shahid Saleem Shah, M.D.
• Shanika Lynn Shavers
• Monica Lynn Shelton, LPC
• Garrett L Shepard, LCSW
• Cynthia A Silvestre, M.D.
• Kara Elizabeth Simmons, PA
• Clinton Boone Smith, D.O.
• Korey Chase Smith
• Payton Lee Smith, MD

• Physical Therapy Assistant in Corning, AR
• Providers in Corning, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.