Individual provider Active NPI

Katie Elizabeth Shipman, PT, DPT

  • Physical Therapist
  • Athens, AL
National Provider Identifier
1699124495
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH7987 Issued in AL
Practice address
22292 US Highway 72
Athens, AL 35613-2604
Phone
(256) 233-2313
Fax
(256) 233-8577
NPI assigned
Jun 13, 2016
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH7987 AL Primary

Addresses

Primary practice location

22292 US Highway 72
Athens, AL 35613-2604

Mailing address

2531 Rocky Ridge Rd Ste 101
Vestavia, AL 35243-4446
Phone (205) 978-7376

Other practice location 1

12110 County Line Rd Ste B
Madison, AL 35756-2009
Phone (256) 232-9001

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1699124495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 ROCKY RIDGE RD STE 101",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352434446",
            "telephone_number": "205-978-7376",
            "fax_number": "205-978-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22292 US HIGHWAY 72",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132604",
            "telephone_number": "256-233-2313",
            "fax_number": "256-233-8577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12110 County Line Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357562009",
            "country_code": "US",
            "telephone_number": "256-232-9001",
            "fax_number": "256-233-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.