Active NPI
Holly Shinn
- Physical Therapist
- O'Fallon, MO
National Provider Identifier
1730251372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2004007615
- Practice address
- 1601 Bryan Rd
O Fallon, MO 63368-4815 - Phone
- (636) 474-2273
- NPI assigned
- Nov 15, 2006
- Last updated
- Apr 8, 2008
- 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 | 2004007615 | MO | Primary |
Addresses
Primary practice location
1601 Bryan Rd
O Fallon, MO 63368-4815
Mailing address
1601 Bryan Rd
O Fallon, MO 63368-4815
Phone (636) 474-2273
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": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1730251372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 BRYAN RD",
"city": "O FALLON",
"state": "MO",
"postal_code": "633684815",
"telephone_number": "636-474-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 BRYAN RD",
"city": "O FALLON",
"state": "MO",
"postal_code": "633684815",
"telephone_number": "636-474-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINN",
"first_name": "HOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2004007615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.