Shantelle Anosike, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1344345 Issued in TX

Practice address

3645 N Beach St
Fort Worth, TX 76137-3242

Phone

(803) 409-9006

NPI assigned

Dec 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shantelle Igiozee Former name

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": "1576368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1669010161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 PARK VISTA BLVD APT 2204",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447160",
            "telephone_number": "803-409-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761373242",
            "telephone_number": "803-409-9006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2735 Oro Dam Blvd E Apt D4",
            "address_purpose": "LOCATION",
            "city": "Oroville",
            "state": "CA",
            "postal_code": "959665159",
            "country_code": "US",
            "telephone_number": "803-409-9006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANOSIKE",
        "first_name": "SHANTELLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-15",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "294861",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1344345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANTELLE",
            "last_name": "IGIOZEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Satang Ann, PMHNP-BC
• Anne Rose Alve
• Padma Anne, M.D.
• Thomas Annuziato, OD
• Anointed Hands Home Healthcare
• Sharique Aslam Ansari, M.D., MPH
• Sharhonda Marie Ansley, M.D.
• Ansurio Exceed Associates Inc.
• Deborah Yvonne Antai-Otong, APRN, BC
• Anthony E Pinckney

• Orthopedic Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.