Active NPI
Shivers Enterprises, Inc
- Physical Therapist
- Palm Harbor, FL
National Provider Identifier
1760978415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7695
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Shivers, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 678945596 | Medicaid | FL | |
| 881624700 | Medicaid | FL | |
| 812403500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Palm Harbor, FL
- NPI 1467549386
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.