Shift Pediatric Physical Therapy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SHIFT PEDIATRIC PHYSICAL THERAPY

Practice address

1302 Burl Woods CT
Bowling Green, KY 42103-1458

Phone

(270) 991-0108

NPI assigned

May 9, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Shifflett, DPT, PTNPI 1538706445

Title

Physical Therapist

Phone

(270) 991-0108

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jessica Shifflett

  • Physical Therapist
  • Bowling Green, KY
  • NPI 1538706445
  NPD Authorized official

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1659061232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 BURL WOODS CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 BURL WOODS CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421031458",
            "telephone_number": "270-991-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFT PEDIATRIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "SHIFFLETT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "270-991-0108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Susan Sherrard, DO
• Nirav A Sheth, MD
• James Shields
• Jessica Shifflett
• Thomas Shifflett
• Jessica Shiver
• Tanya Shoaib, M.D.
• Chelsey Shofner, RBT
• Short Pediatric PT, LLC
• Hannah Short, DPT

• Early Intervention Provider Agency in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Early Intervention Provider Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.