Active NPI
Raymund Pearce Shippey, MS, PT, MBA
- Physical Therapist
- Ionia, MI
National Provider Identifier
1912409178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501010667
- Practice address
- 537 W Main St Ste 102
Ionia, MI 48846-1600 - Phone
- (616) 523-1010
- NPI assigned
- Mar 5, 2018
- Sex
- Male
- 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 Therapist | 225100000X | 5501010667 | MI | Primary |
Addresses
Primary practice location
537 W Main St Ste 102
Ionia, MI 48846-1600
Mailing address
537 W Main St Ste 102
Ionia, MI 48846-1600
Phone (616) 523-1010
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
- Credentials
- Master of Business Administration, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501010667 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1912409178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 W MAIN ST STE 102",
"city": "IONIA",
"state": "MI",
"postal_code": "488461600",
"telephone_number": "616-523-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 W MAIN ST STE 102",
"city": "IONIA",
"state": "MI",
"postal_code": "488461600",
"telephone_number": "616-523-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPPEY",
"first_name": "RAYMUND",
"middle_name": "PEARCE",
"credential": "MS, PT, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-05",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501010667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ionia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.