Shelby Jo Waters

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2143312 Issued in TX

Practice address

232 Brite Rd
Cibolo, TX 78108-3899

Phone

(210) 566-1269

NPI assigned

Jan 13, 2022

Last updated

Jan 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1659022465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10419 RINDERFARM CT",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781323879",
            "telephone_number": "903-722-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BRITE RD",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083899",
            "telephone_number": "210-566-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "SHELBY",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2143312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christi Denise Walker, LPC
• David Clark Ward, MD
• Lisa Gayle Warren, NP
• Warrenmed
• Derek Christopher Washington, PT, DPT
• Valarie Welsh, CD(DONA), LCCE
• Heidi Janine White, MA, CCC-SLP
• Jamie Marie Williamson, B.C.B.A.
• Teresa Gonzalez Ynostrosa, ABOC
• Andrew Yoon

• Physical Therapy Assistant in Cibolo, TX
• Providers in Cibolo, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.