Michael Shutika, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013361L Issued in PA

Practice address

470 Eisenhower Dr
Hanover, PA 17331-5248

Phone

(717) 747-8361

Fax

(717) 747-2114

NPI assigned

Feb 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1871031278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 POWDER MILL RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024723",
            "telephone_number": "717-848-4800",
            "fax_number": "717-741-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 EISENHOWER DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315248",
            "telephone_number": "717-747-8361",
            "fax_number": "717-747-2114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 Powder Mill Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024723",
            "country_code": "US",
            "telephone_number": "717-848-4800",
            "fax_number": "717-741-4240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUTIKA",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013361L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Shoul, MS, CCC/SLP
• Jill Showvaker, PHARMD
• Dusty R Shue, HIS
• Kim M Shue, PA
• Miranda Lynn Shultz
• Khalid Aquil Siddiqui, MD
• Alyssa Ann Signor
• Wayne Steven Silverman, DDS
• Tori Simon, ED. S
• Taylor Blaine Siner, M.S., SLP

• Physical Therapist in Hanover, PA
• Providers in Hanover, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.