Organization Active NPI

Shifren Physical Therapy

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1912144015
Registry record updated Feb 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5624 Issued in AZ
Legal business name
SHIFREN PHYSICAL THERAPY
Practice address
16256 N Oracle Rd
Suite120
Tucson, AZ 85739-4382
Phone
(520) 572-6540
Fax
(520) 572-6540
NPI assigned
Jan 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2021

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

Authorized official

Name
Dr. Nolan Raoul Shifren, P.T.NPI 1144331109
Title
Owner/Administrator
Phone
(520) 572-6540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5624 AZ Primary

Addresses

Primary practice location

16256 N Oracle Rd
Suite120
Tucson, AZ 85739-4382

Mailing address

16256 N Oracle Rd Ste 120
Tucson, AZ 85739-4294
Phone (520) 572-6540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090227000260 AZ Part B Supplier - Clinic/Group Practice 3779649736 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

16256 N Oracle Rd
Ste 120
Tucson, AZ 85739
Phone (520) 572-6540

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612656000000",
    "number": "1912144015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16256 N ORACLE RD STE 120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857394294",
            "telephone_number": "520-572-6540",
            "fax_number": "520-818-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16256 N ORACLE RD",
            "address_2": "SUITE120",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857394382",
            "telephone_number": "520-572-6540",
            "fax_number": "520-572-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFREN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-11",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A",
        "authorized_official_last_name": "SHIFREN",
        "authorized_official_first_name": "NOLAN",
        "authorized_official_middle_name": "RAOUL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "520-572-6540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.