Active NPI
Caroline Rose Shea, DPT
- Physical Therapist
- Fairbanks, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 187471
- Practice address
- 530 7TH Ave Ste 1
Fairbanks, AK 99701-4971 - Phone
- (907) 415-4222
- Fax
- (907) 206-7156
- NPI assigned
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13125 | TN | |
| Physical Therapist | 225100000X | 187471 | AK | Primary |
Addresses
Primary practice location
530 7TH Ave Ste 1
Fairbanks, AK 99701-4971
Mailing address
530 7TH Ave Ste 1
Fairbanks, AK 99701-4971
Phone (907) 415-4222
Other practice location 1
1314 Peabody Ave
Memphis, TN 38104-3500
Phone (901) 321-5803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
530 7TH Ave
Suite 1
Fairbanks, AK 99701-4971
Phone (907) 415-4222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13125 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Inner Strength, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1917 Abbott Rd
Ste 200
Anchorage, AK 99507
Phone (907) 279-4266
1275 Sadler Way
Ste 201
Fairbanks, AK 99701
Phone (907) 374-0992
530 7th Ave
Ste 1
Fairbanks, AK 99701
Phone (907) 415-4222
Organizations & group practices 2
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 Therapist
- Anchorage, AK
- NPI 1437214459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1689345167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 7TH AVE STE 1",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014971",
"telephone_number": "907-415-4222",
"fax_number": "907-206-7156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 7TH AVE STE 1",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997014971",
"telephone_number": "907-415-4222",
"fax_number": "907-206-7156"
}
],
"practiceLocations": [
{
"address_1": "1314 Peabody Ave",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381043500",
"country_code": "US",
"telephone_number": "901-321-5803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEA",
"first_name": "CAROLINE",
"middle_name": "ROSE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "13125",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "187471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.