Kerri L Shpur, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

34488 Issued in FL

Practice address

4725 Bellwether LN
Oxford, FL 34484-2980

Phone

(352) 430-0076

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (1 of 2)

Networks

• Freedom Health HMO Network

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.

• Orthopedic & Spine Physical Therapy PC

  • Physical Therapist
  • Queensbury, NY
  • NPI 1871685388
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1811089337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4984 BIG CYPRESS ST",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344843819",
            "telephone_number": "518-321-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 BELLWETHER LN",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344842980",
            "telephone_number": "352-430-0076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Broad St",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128014301",
            "country_code": "US",
            "telephone_number": "518-409-4288",
            "fax_number": "518-409-4289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHPUR",
        "first_name": "KERRI",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0183751",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "34488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Q03D71",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000404983001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Rugg, PTA
• Nancy E Schrank, PT
• Select Specialty Hospital - the Villages Inc
• Senior Home Companions, Inc
• Andrew B Sher, MD
• Susan Marjorie Skolly
• Erin Snyder, COTA
• Solace Anesthesia, LLC
• Catherine Michelle Stauff
• Aimee Trovillo Stelogeannis, LPTA

• All providers in Oxford, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.