Active NPI
Shamsah Shidi, PT
- Physical Therapist
- Clearwater, FL
National Provider Identifier
1689738684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 5859
- Practice address
- 611 Druid Rd. E
Suite 301
Clearwater, FL 33756-3919 - Phone
- (727) 447-8884
- Fax
- (727) 447-0919
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 5859 | FL | Primary |
| Geriatric Physical Therapist | 2251G0304X | PT 5859 | FL | |
| Orthopedic Physical Therapist | 2251X0800X | PT 5859 | FL |
Addresses
Primary practice location
611 Druid Rd. E
Suite 301
Clearwater, FL 33756-3919
Mailing address
611 Druid Rd. E
Suite 301
Clearwater, FL 33756-3919
Phone (727) 447-8884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 882775300 | Medicaid | FL | |
| PT5859 | Other | FL | PHYSICAL THERAPY LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Solutions Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Clearwater, FL
- NPI 1720144470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1689738684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 DRUID RD. E",
"address_2": "SUITE 301",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563919",
"telephone_number": "727-447-8884",
"fax_number": "727-447-0919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 DRUID RD. E",
"address_2": "SUITE 301",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563919",
"telephone_number": "727-447-8884",
"fax_number": "727-447-0919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIDI",
"first_name": "SHAMSAH",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 5859",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "FL",
"license": "PT 5859",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT 5859",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "882775300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "PT5859",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.