Individual provider Active NPI

Wayne Shires, M.S.,P.T.

  • Physical Therapist
  • Palm Harbor, FL
National Provider Identifier
1831220565
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15015 Issued in FL
Practice address
2385 Tampa Rd
Palm Harbor, FL 34683-5851
Phone
(727) 772-5699
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT15015 FL Primary

Addresses

Primary practice location

2385 Tampa Rd
Palm Harbor, FL 34683-5851

Mailing address

2385 Tampa Rd
Palm Harbor, FL 34683-5851

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060118000203 FL Practitioner - Physical Therapist in Private Practice 0446249023 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Orthopedic Clinic III PLGroup PAC ID 4284532755, 538 clinicians

Practice addresses (Care Compare)

430 Morton Plant St
Suite 206
Clearwater, FL 33756-3396
Phone (813) 978-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT15015FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Apr 21, 2025 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Apr 21, 2025 Accepting new patients
Musculoskeletal Institute Chartered Current Accepting new patients
QRM Plus Florida LLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Tallahassee Orthopedic Clinic III PL CurrentSince Apr 21, 2025 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Apr 21, 2025 Accepting new patients
Nueroscience Associates of West Pasco Past Accepting new patients
Premier Neurospine Institute, LLC Past Accepting new patients

Locations

1011 Jeffords St
Bldg B
Clearwater, FL 33756
Phone (727) 442-8199

2414 Enterprise Rd
Fl Orthopaedic
Clearwater, FL 33763

2414 Enterprise Rd
Clearwater, FL 33763
Phone (727) 796-4345

430 Morton Plant St
Ste 206
Clearwater, FL 33756
Phone (727) 298-5230

3890 Tampa Rd
Ste 303
Palm Harbor, FL 34684
Phone (727) 786-1747

8839 Bryan Dairy Rd
Ste 240B
Seminole, FL 33777
Phone (727) 591-3080

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

670 Flushing Ave
Ste 307
Brooklyn, NY 11206

5057 Keller Springs Rd
Ste 150
Addison, TX 75001
Phone (800) 420-1036

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 8

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1831220565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346835851",
            "telephone_number": "727-772-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRES",
        "first_name": "WAYNE",
        "credential": "M.S.,P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15015",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 25, 2008; 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.