Active NPI
Shenevia Nichole Bostick
- Physical Therapy Assistant
- Lecanto, FL
National Provider Identifier
1881983583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 22576
- Practice address
- 279 N Lecanto Hwy
Lecanto, FL 34461-9195 - Phone
- (352) 746-9143
- NPI assigned
- Apr 4, 2011
- Last updated
- Apr 4, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 22576 | FL | Primary |
Addresses
Primary practice location
279 N Lecanto Hwy
Lecanto, FL 34461-9195
Mailing address
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone (352) 382-1141
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 |
|---|---|---|---|
| PTA 22576 | FL | MD | Physical Therapy Assistant |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1881983583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8477 S SUNCOAST BLVD",
"city": "HOMOSASSA",
"state": "FL",
"postal_code": "344465028",
"telephone_number": "352-382-1141",
"fax_number": "352-382-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 N LECANTO HWY",
"city": "LECANTO",
"state": "FL",
"postal_code": "344619195",
"telephone_number": "352-746-9143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSTICK",
"first_name": "SHENEVIA",
"middle_name": "NICHOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-04",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 22576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lecanto, FL
- BJ's Wholesale Club Inc.
- Brett Patrick Blake, M.D.
- Board of County Commissioners Citrus County (Citrus County, a Political Subdivision of the State of Florida)
- Ashley Danielle Boardman
- Brian Keith Bonomo, PAC
- Mary Beth Bottorf, APRN
- Timothy A Brant, M.D.
- Brashears Vital Care Corp (Brashear's Pharmacy)
- Megan Brecher, APRN
- Brentwood Health Care Associates LLC (Health Center at Brentwood)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.