Active NPI
Jennifer Shawver
- Physical Therapy Assistant
- McKeesport, PA
National Provider Identifier
1730620204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE1002840
- Practice address
- 625 Walnut St
McKeesport, PA 15132-2806 - Phone
- (412) 673-5005
- NPI assigned
- Mar 16, 2017
- 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 Therapy Assistant | 225200000X | TE1002840 | PA | Primary |
Addresses
Primary practice location
625 Walnut St
McKeesport, PA 15132-2806
Mailing address
625 Walnut St
McKeesport, PA 15132-2806
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730620204 | Medicaid | PA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UPMCGreenHome@upmcdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | UPMCHospitals@upmcdirect.com | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| TE1002840 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1730620204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 WALNUT ST",
"city": "MCKEESPORT",
"state": "PA",
"postal_code": "151322806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 WALNUT ST",
"city": "MCKEESPORT",
"state": "PA",
"postal_code": "151322806",
"telephone_number": "412-673-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAWVER",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-16",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE1002840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730620204",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UPMCGreenHome@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "UPMCHospitals@upmcdirect.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "625 Walnut St",
"city": "McKeesport",
"state": "PA",
"country_code": "US",
"postal_code": "151322806",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UPMCHospitals@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "secure UPMC direct address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "625 Walnut St",
"city": "McKeesport",
"state": "PA",
"country_code": "US",
"postal_code": "151322806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in McKeesport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.