Imani Paramore Shell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT030942 Issued in PA

Practice address

100 Presidential Blvd
Bala Cynwyd, PA 19004-1108

Phone

(610) 668-0904

NPI assigned

Nov 21, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1902515745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 MORRIS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444226",
            "telephone_number": "215-834-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRESIDENTIAL BLVD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041108",
            "telephone_number": "610-668-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELL",
        "first_name": "IMANI",
        "middle_name": "PARAMORE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030942",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-8466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy F Shapiro, MSW LCSW
• Stuart Howard Shapiro, M.D.
• Cynthia Shar, M.ED.
• Erin Sharkey, M.ED.
• Fredric M Shecter, DO
• Kara Shifler
• Josephine Hsin-Fen Shih, PHD
• Ye Ji Shin
• Shining Hearts Medical Group Corp
• Shoshana Twersky PSYD LLC

• Physical Therapist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.