Active NPI
Shanon Rita Paglieri, PT
- Physical Therapist
- Columbus, OH
National Provider Identifier
1720331580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006872
- Practice address
- 170 Taylor Station Rd
Columbus, OH 43213-4491 - Phone
- (614) 506-4985
- NPI assigned
- Oct 18, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006872 | OH | Primary |
Addresses
Primary practice location
170 Taylor Station Rd
Columbus, OH 43213-4491
Mailing address
5401 Medallion Drive West
Westerville, OH 43082
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006872 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Fitness, LTD | 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.
-
- Physical Therapy Clinic/Center
- Westerville, OH
- NPI 1245488402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496620800000",
"number": "1720331580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 MEDALLION DRIVE WEST",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "43082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 TAYLOR STATION RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432134491",
"telephone_number": "614-506-4985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGLIERI",
"first_name": "SHANON",
"middle_name": "RITA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-18",
"last_updated": "2017-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "006872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.