Active NPI
Michelle Lynn Shuler, MPT
- Physical Therapist
- Bloomington, IN
National Provider Identifier
1831756394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013324A
- Practice address
- 2901 N Walnut St
Bloomington, IN 47404-2065 - Phone
- (812) 336-7246
- NPI assigned
- May 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05013324A | IN | Primary |
Addresses
Primary practice location
2901 N Walnut St
Bloomington, IN 47404-2065
Mailing address
3834 N Russell Rd
Bloomington, IN 47408-9642
Phone (808) 782-1326
Other practice location 1
101 Silvermine Rd
Brookfield, CT 06804-2047
Phone (888) 374-0855
Other names 1
- Michelle Ballan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05013324A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indigo 6 LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1831756394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3834 N RUSSELL RD",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474089642",
"telephone_number": "808-782-1326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 N WALNUT ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474042065",
"telephone_number": "812-336-7246"
}
],
"practiceLocations": [
{
"address_1": "101 Silvermine Rd",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "CT",
"postal_code": "068042047",
"country_code": "US",
"telephone_number": "888-374-0855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHULER",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2022-02-28",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013324A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "BALLAN",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.