Individual provider Active NPI

Ryan E Shook, D.C., LMT

  • Rehabilitation Chiropractor
  • Belpre, OH
National Provider Identifier
1760240485
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC-05107 Issued in OH
Practice address
903 Washington Blvd
Belpre, OH 45714-2361
Phone
(740) 262-2957
NPI assigned
Mar 7, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 33.022085 OH
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X DC-05107 OH Primary

Addresses

Primary practice location

903 Washington Blvd
Belpre, OH 45714-2361

Mailing address

50639 Lickskillet Rd
Reedsville, OH 45772-9746
Phone (740) 262-2957

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241029004575 OH Practitioner - Chiropractic 6204369200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

903 Washington Blvd
Belpre, OH 45714-2361
Phone (740) 262-2957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-05107OHMDRehabilitation Chiropractor
33.022085OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shook Chiropractic Rehabilitation CurrentSince May 1, 2024 Accepting new patients
Shook Chiropractic LLC. Rehabilitation Current Accepting new patients

Locations

903 Washington Blvd
Belpre, OH 45714
Phone (740) 262-2957

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1760240485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50639 LICKSKILLET RD",
            "city": "REEDSVILLE",
            "state": "OH",
            "postal_code": "457729746",
            "telephone_number": "740-262-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 WASHINGTON BLVD",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457142361",
            "telephone_number": "740-262-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "RYAN",
        "middle_name": "E",
        "credential": "D.C., LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.022085",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "DC-05107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.