Active NPI
Aaron Shores
- Physical Therapist
- Brandon, MS
National Provider Identifier
1891143848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 115 Village SQ Ste K
Brandon, MS 39047-6069 - Phone
- (601) 398-3171
- NPI assigned
- Jun 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
115 Village SQ Ste K
Brandon, MS 39047-6069
Mailing address
160 Chestnut Dr
Brandon, MS 39047-7462
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1891143848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 CHESTNUT DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390477462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 VILLAGE SQ STE K",
"city": "BRANDON",
"state": "MS",
"postal_code": "390476069",
"telephone_number": "601-398-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORES",
"first_name": "AARON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-01",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, MS
- Antwynette Brinkley Shields, DPC, LPC, NCC, CMHT
- Carlie Shields
- Georgia Christine Shirley, CNP
- Brenna Grace W Shoemaker, OT
- Spencer L Shoemaker, DPT
- Miriam Randolph Shufelt, FNP-C
- Heather Phillips Silverii, FNP
- Charlie Simmons, PMHNP
- Jennifer Marie Simmons
- Simpson Community Healthcare, Inc (Puckett Medical Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.