Organization Active NPI

Shelton Therapy Inc

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1710968128
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SHELTON THERAPY INC
Practice address
720 Saint Johns Bluff Rd N
Ste 1
Jacksonville, FL 32225-6704
Phone
(904) 646-1144
Fax
(904) 928-0039
NPI assigned
Nov 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Mrs. Melissa J Davis
Title
Business Manager
Phone
(904) 646-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

720 Saint Johns Bluff Rd N
Ste 1
Jacksonville, FL 32225-6704

Mailing address

720 Saint Johns Bluff Rd N
Ste 1
Jacksonville, FL 32225-6704
Phone (904) 646-1144

Other identifiers 2

IdentifierTypeStateIssuer
CK5020OtherFLRAILROAD MEDICARE
Y907ROtherFLBCBS

Other names 1

  • Progressive Step Rehabilitation Services Doing business as

National Provider Directory

National Provider Directory

Locations

10728 Atlantic Blvd
Jacksonville, FL 32225
Phone (904) 646-1144

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1710968128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SAINT JOHNS BLUFF RD N",
            "address_2": "STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256704",
            "telephone_number": "904-646-1144",
            "fax_number": "904-928-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SAINT JOHNS BLUFF RD N",
            "address_2": "STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256704",
            "telephone_number": "904-646-1144",
            "fax_number": "904-928-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "904-646-1144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK5020",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y907R",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Step Rehabilitation Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.