Jillian Danielle Shiembob, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

660 S 200 E
Salt Lake City, UT 84111-3835

Phone

(413) 348-8247

NPI assigned

Jun 15, 2011

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

Enrolled in UT, TX2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Confederated Tribes of the Goshute ReservationGroup PAC ID 0042451650, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Confederated Tribes of the Goshute Reservation

  • General Practice Physician
  • Ibapah, UT
  • NPI 1750510277

  TX

  Medicare reassignment Care Compare group NPD
• University of Utah

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1588656870
  Medicare reassignment NPD
• University of Utah

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1699889576
  NPD
• Confederated Tribes of the Goshute Reservation

  • Clinic Pharmacy
  • West Valley, UT
  • NPI 1790370955
  NPD (past)
• Northeast Kingdom Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Newport, VT
  • NPI 1417175761

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1679868939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S 200 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113835",
            "telephone_number": "801-359-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S 200 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113835",
            "telephone_number": "413-348-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIEMBOB",
        "first_name": "JILLIAN",
        "middle_name": "DANIELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fantaisha Tonimarie Shields
• Jessica Shields, MS, RD, CD
• Kristin Mae Shields, NP
• Michelanne Shields, MD
• Michele Shields
• Cheryl Dawn Shifflett-Evans, LPC
• Kenneth Anthony Shifrar, BS PHARM
• Fuad S. Shihab, MD
• Omar Fuad Shihab
• Kevin C Shilling, MD

• Physical Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.