Organization Active NPI

Shivers Enterprises, Inc

  • Physical Therapist
  • Palm Harbor, FL
National Provider Identifier
1760978415
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7695 Issued in FL
Legal business name
SHIVERS ENTERPRISES, INC
Practice address
3550 Deer Run S
Palm Harbor, FL 34684-3551
Phone
(727) 480-2809
Fax
(727) 333-7667
NPI assigned
Jul 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Authorized official

Name
Karen Shivers, PTNPI 1467549386
Title
President
Phone
(727) 480-2809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT7695 FL Primary

Addresses

Primary practice location

3550 Deer Run S
Palm Harbor, FL 34684-3551

Mailing address

3550 Deer Run S
Palm Harbor, FL 34684-3551
Phone (727) 480-2809

Other identifiers 3

IdentifierTypeStateIssuer
678945596MedicaidFL
881624700MedicaidFL
812403500MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1760978415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 DEER RUN S",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843551",
            "telephone_number": "727-480-2809",
            "fax_number": "727-333-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 DEER RUN S",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843551",
            "telephone_number": "727-480-2809",
            "fax_number": "727-333-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVERS ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "SHIVERS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-480-2809",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678945596",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "881624700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812403500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.