Nathan R. Shields, P.T.

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

License

109306 Issued in AK

Practice address

3066 E Meridian Park Loop Ste 101
Wasilla, AK 99654

Phone

(907) 205-5945

Fax

(907) 205-5948

NPI assigned

Feb 13, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in AZ, AK2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum Health and Wellness Physical Therapy IncGroup PAC ID 3870775604, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optimum Health and Wellness Physical Therapy, Inc.

  • Physical Therapist
  • Ketchikan, AK
  • NPI 1649577578
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1861466484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 873895",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996873895",
            "telephone_number": "480-695-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 E MERIDIAN PARK LOOP STE 101",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-205-5945",
            "fax_number": "907-205-5948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3930 S. Alma School Rd.,",
            "address_2": "#3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852484510",
            "country_code": "US",
            "telephone_number": "480-899-9829",
            "fax_number": "480-726-9829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "NATHAN",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5063",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "AK",
            "license": "109306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1651715",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Sheridan
• Brittney Michelle Sherin, APRN
• Christopher Craig Sherk, PSS
• Danielle Sherrer
• Kelli R Shew, LMT
• Stephanie Shields
• Heather Shomler
• Robert Shomler
• Stephen Matthew Shortridge, PAC
• Kaylianne Michelle Shreve, PSA, CT

• Physical Therapist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.