Individual provider Active NPI

Briana Marie Shively, CPTA

  • Physical Therapy Assistant
  • Topeka, KS
National Provider Identifier
1699010629
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-02071 Issued in KS
Practice address
3715 SW 29TH St Ste 100
Topeka, KS 66614-2111
Phone
(785) 272-1535
Fax
(785) 354-9582
NPI assigned
Dec 3, 2012
Last updated
Dec 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-02071 KS Primary

Addresses

Primary practice location

3715 SW 29TH St Ste 100
Topeka, KS 66614-2111

Mailing address

3715 SW 29TH St Ste 100
Topeka, KS 66614-2111
Phone (785) 354-0767

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

State licenses

LicenseStateTypeSpecialty
14-02071KSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Caregivers, Inc. PastSince Jan 14, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1699010629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 SW 29TH ST STE 100",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142111",
            "telephone_number": "785-354-0767",
            "fax_number": "785-354-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 SW 29TH ST STE 100",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142111",
            "telephone_number": "785-272-1535",
            "fax_number": "785-354-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVELY",
        "first_name": "BRIANA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.