Shelly Denise Birdwell, PTA
Individual provider Active NPI Physical Therapy Assistant · Camden, TN
NPI 1689008229 · NPPES record last updated Aug 31, 2013
Key facts
- NPI
- 1689008229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5419 (TN)
- Practice address
- 117 Hummingbird Cir
Camden, TN 38320-1623 - Phone
- (731) 584-2700
- NPI assigned
- Aug 31, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5419 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Home Health Care, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5419 | TN | Yes |
Addresses
Primary practice location
117 Hummingbird Cir
Camden, TN 38320-1623
Mailing address
235 Pleasant Hill Rd
Springville, TN 38256-6437
Phone (731) 363-5752
Other providers in Camden, TN
- Tron D Baker
- Beaba TN LLC
- Benton County Developmental Services, Inc.
- Ken D. Berry
- Big Rock Eye Care PLLC
- Michael Eugene Bogard
- Susan Brewer
- Daniel Patrick Brown
- Jordan Brown
- Jacqueline Rosenjack Burchum
All providers in Camden, TN · Physical Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.