Active NPI
Shaun R. Powers, PT
- Physical Therapist
- Madison, WI
National Provider Identifier
1881832855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10971-024
- Practice address
- 1821 S Stoughton Rd
Dean Medical Center
Madison, WI 53716-2257 - Phone
- (608) 260-6004
- Fax
- (608) 260-6906
- NPI assigned
- Jan 29, 2009
- Sex
- Male
- 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 | 10971-024 | WI | Primary |
Addresses
Primary practice location
1821 S Stoughton Rd
Dean Medical Center
Madison, WI 53716-2257
Mailing address
1821 S Stoughton Rd
Dean Medical Center
Madison, WI 53716-2257
Phone (608) 260-6004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60583 | Other | WI | DEAN HEALTH INSURANCE |
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 |
|---|---|---|---|
| 10971-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1881832855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 S STOUGHTON RD",
"address_2": "DEAN MEDICAL CENTER",
"city": "MADISON",
"state": "WI",
"postal_code": "537162257",
"telephone_number": "608-260-6004",
"fax_number": "608-260-6906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 S STOUGHTON RD",
"address_2": "DEAN MEDICAL CENTER",
"city": "MADISON",
"state": "WI",
"postal_code": "537162257",
"telephone_number": "608-260-6004",
"fax_number": "608-260-6906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "SHAUN",
"middle_name": "R.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-29",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10971-024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "60583",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.