NPIMap

Organization Active NPI

Orthopedic & Spine Physical Therapy

  • Physical Therapist
  • Carlisle, PA
National Provider Identifier
1811095631
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOPEDIC & SPINE PHYSICAL THERAPY
Practice address
850 Walnut Bottom Rd
Suite 306
Carlisle, PA 17013-3632
Phone
(717) 241-2211
Fax
(717) 241-2240
NPI assigned
Sep 20, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Hersh A Shukla, PTNPI 1235237397
Title
Owner
Phone
(717) 241-2211

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 Therapist 225100000X PA Primary

Addresses

Primary practice location

850 Walnut Bottom Rd
Suite 306
Carlisle, PA 17013-3632

Mailing address

850 Walnut Bottom Rd
Suite 306
Carlisle, PA 17013-3632
Phone (717) 241-2211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041130000978 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153386214 Receives reassigned benefits from 4 practitioners
Practice locations: Carlisle, PA

National Provider Directory

National Provider Directory

Locations

850 Walnut Bottom Rd
Ste 306
Carlisle, PA 17013
Phone (717) 241-2211

2213 Forest Hills Dr
Ste 2
Harrisburg, PA 17112
Phone (717) 329-8016

97 Progress Blvd
Ste 2
Shippensburg, PA 17257
Phone (717) 241-2211

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811095631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 WALNUT BOTTOM RD",
            "address_2": "SUITE 306",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133632",
            "telephone_number": "717-241-2211",
            "fax_number": "717-241-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WALNUT BOTTOM RD",
            "address_2": "SUITE 306",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133632",
            "telephone_number": "717-241-2211",
            "fax_number": "717-241-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPINE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "HERSH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-241-2211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.