Jennifer Lynn Shirley, P.T.A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

25064 Issued in WV

Practice address

942 Roxalana Hills Dr
Dunbar, WV 25064-1958

Phone

(386) 316-9672

NPI assigned

Feb 13, 2014

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": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1912321738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 ROXALANA HILLS DR",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250641958",
            "telephone_number": "386-316-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 ROXALANA HILLS DR",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250641958",
            "telephone_number": "386-316-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "P.T.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "24235",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "25064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Scritchfield
• Jeremy Lee Seacrist
• Nicholas Shalhoup, DDS
• Lori C Shamblen, SPEECH LANGUAGE PATH
• Terri Sherrod
• Jacqueline Lloydette Shivley-Castle, COTA/L
• Alexandria Shoffner
• Christopher Shane Shreve, MD
• Valeria Skaggs
• Rebecca Sue Skeens

• Physical Therapy Assistant in Dunbar, WV
• Providers in Dunbar, WV by specialty
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.