Kathleen Demolli Shirley, PT,OCS,GCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4508 Issued in FL

Practice address

9668 105TH Ter
Largo, FL 33773-4507

Phone

(727) 460-1802

Fax

(727) 397-1580

NPI assigned

Sep 2, 2006

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physical Therapy in Your Home Inc

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
  • NPI 1356353437
  NPD (past)
• Trinity 5 Inc

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1326665084
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1679675243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9668 105TH TER",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337734507",
            "telephone_number": "727-791-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9668 105TH TER",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337734507",
            "telephone_number": "727-460-1802",
            "fax_number": "727-397-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "KATHLEEN",
        "middle_name": "DEMOLLI",
        "name_prefix": "Mrs.",
        "credential": "PT,OCS,GCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "4508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Lee Shettle, D.O.
• Philip Leroy Shettle, D.O.
• Todd Alan Shettle, O.D.
• Kedar R. Shetye, M.D.
• Paul Daniel Shimkonis, PTA
• Annie Shockley, PHARMD
• Baylen Shoemaker, DO
• Adetomiwa Shokunbi
• Kristen Marie Shoopman
• Mallory Shortway

• Physical Therapist in Largo, FL
• Providers in Largo, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.