Active NPI
Corey Shilhanek
- Physical Therapist
- Casa Grande, AZ
National Provider Identifier
1912454778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12471
- Practice address
- 580 N Camino Mercado
Suite 13
Casa Grande, AZ 85122-5757 - Phone
- (855) 311-7522
- NPI assigned
- Sep 8, 2016
- 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 | 12471 | AZ | Primary |
Addresses
Primary practice location
580 N Camino Mercado
Suite 13
Casa Grande, AZ 85122-5757
Mailing address
2855 S Extension Rd
Unit 219
Mesa, AZ 85210-8200
Phone (406) 855-5117
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12471 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pelvic Docs, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1669157525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1912454778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 S EXTENSION RD",
"address_2": "UNIT 219",
"city": "MESA",
"state": "AZ",
"postal_code": "852108200",
"telephone_number": "406-855-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 N CAMINO MERCADO",
"address_2": "SUITE 13",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851225757",
"telephone_number": "855-311-7522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHILHANEK",
"first_name": "COREY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-08",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "12471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.