Individual provider Active NPI

Angela M Shumrick, PT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1740254101
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT08075 Issued in OH
Practice address
7685 Beechmont Ave
Cincinnati, OH 45255-4216
Phone
(513) 231-2700
Fax
(513) 231-2666
NPI assigned
Feb 14, 2006
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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 PT08075 OH Primary

Addresses

Primary practice location

7685 Beechmont Ave
Cincinnati, OH 45255-4216

Mailing address

7685 Beechmont Ave
Cincinnati, OH 45255-4216
Phone (513) 231-2700

Other identifiers 1

IdentifierTypeStateIssuer
2468897MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000939 OH Practitioner - Physical Therapist in Private Practice 8325213408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7685 Beechmont Ave
Cincinnati, OH 45255-4216
Phone (513) 891-0934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT08075OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Balance Related Disorders and Rehabilitation Inc CurrentSince Feb 3, 2003 Accepting new patients

Locations

9402 Towne Square Ave
Ste C45242
Blue Ash, OH 45242
Phone (513) 231-2700

7685 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 231-2700

10791 Montgomery Rd
Montgomery, OH 45242
Phone (513) 891-0934

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1740254101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7685 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554216",
            "telephone_number": "513-231-2700",
            "fax_number": "513-231-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554216",
            "telephone_number": "513-231-2700",
            "fax_number": "513-231-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMRICK",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT08075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2468897",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.