Active NPI
Erin Shetler, PT, DPT, ATC
- Physical Therapist
- Lexington, KY
National Provider Identifier
1881067395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006754
- Practice address
- 2908 Our Tibbs TRL
Lexington, KY 40511-9187 - Phone
- (859) 327-1890
- NPI assigned
- Nov 5, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT989 | KY | |
| Physical Therapist | 225100000X | 006754 | KY | Primary |
Addresses
Primary practice location
2908 Our Tibbs TRL
Lexington, KY 40511-9187
Mailing address
2908 Our Tibbs TRL
Lexington, KY 40511-9187
Phone (859) 327-1890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100417820 | Medicaid | KY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006754 | KY | MD | Physical Therapist |
| AT989 | KY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin Shetler PT, LLC | Current | Accepting new patients | |
| On the Move Pedatric Therapy PLLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Early Intervention Provider Agency
- Lexington, KY
- NPI 1427689488
-
- Physical Therapist
- Lexington, KY
- NPI 1801145628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1881067395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 OUR TIBBS TRL",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405119187",
"telephone_number": "859-327-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 OUR TIBBS TRL",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405119187",
"telephone_number": "859-327-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHETLER",
"first_name": "ERIN",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-05",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KY",
"license": "AT989",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "006754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100417820",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.