Active NPI
Aaron Michael Shutts, LPTA
- Physical Therapy Assistant
- Spencer, WV
National Provider Identifier
1669849253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 002127
- Practice address
- 825 Summit St
Spencer, WV 25276-1035 - Phone
- (304) 927-1007
- Fax
- (304) 927-5830
- NPI assigned
- Aug 31, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 002127 | WV | Primary |
Addresses
Primary practice location
825 Summit St
Spencer, WV 25276-1035
Mailing address
4359 State Route 555
Little Hocking, OH 45742-5226
Phone (740) 440-0501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002127 | WV | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1669849253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4359 STATE ROUTE 555",
"city": "LITTLE HOCKING",
"state": "OH",
"postal_code": "457425226",
"telephone_number": "740-440-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 SUMMIT ST",
"city": "SPENCER",
"state": "WV",
"postal_code": "252761035",
"telephone_number": "304-927-1007",
"fax_number": "304-927-5830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUTTS",
"first_name": "AARON",
"middle_name": "MICHAEL",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-31",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WV",
"license": "002127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spencer, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.