Jason Michael Shipley, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21920 Issued in MD

Practice address

8322 Bellona Ave
Towson, MD 21204-2012

Phone

(410) 337-8847

Fax

(410) 769-8591

NPI assigned

Aug 18, 2006

Last updated

Nov 13, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Maryland School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Maryland Medical Regional Professional Services, LLCGroup PAC ID 5799930046, 30 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Maryland Medical Regional Professional Services, LLC

  dba Towson Sports Medicine

  • Physical Therapist
  • Towson, MD
  • NPI 1225383250
  Medicare reassignment Care Compare group NPD
• University of Maryland Medical Regional Professional Services, LLC

  dba Towson Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Rosedale, MD
  • NPI 1447003025

  Physical Therapist

  NPD
• Orthopaedic Associates, PA

  dba Towson Orthopaedic Associates

  • Orthopaedic Surgery Physician
  • Towson, MD
  • NPI 1477667707
  NPD (past)
• Orthopaedic Associates, PA

  dba Ruxton Orthotics

  • Customized Equipment (DME)
  • Baltimore, MD
  • NPI 1902099054
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1871607077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 BELLONA AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042012",
            "telephone_number": "410-337-8847",
            "fax_number": "410-769-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 BELLONA AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042012",
            "telephone_number": "410-337-8847",
            "fax_number": "410-769-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENS",
            "identifier": "21920",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Changing Shi
• Galen Shi
• Roman Shimonov, DMD
• Megan Shingleton, M.S. CCC-SLP
• Emma Shipley, CCC-SLP
• Paul Jay Shires, DDS
• Shirley Thompson-Richards MD
• Brian Shiu, MD
• Tamra A. Shockley, PSY.D.
• Lara Shodeinde, CRNA

• Physical Therapist in Towson, MD
• Providers in Towson, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.