Individual provider Active NPI

Bernice Shepler, PTA

  • Physical Therapy Assistant
  • Wooster, OH
National Provider Identifier
1922470764
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
04218 Issued in OH
Practice address
210 E Milltown Rd
Suite a
Wooster, OH 44691-1246
Phone
(330) 262-4449
Fax
(330) 262-4449
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 04218 OH Primary

Addresses

Primary practice location

210 E Milltown Rd
Suite a
Wooster, OH 44691-1246

Mailing address

210 E Milltown Rd
Suite a
Wooster, OH 44691-1246
Phone (330) 262-4449

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

State licenses

LicenseStateTypeSpecialty
04218OHMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1922470764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E MILLTOWN RD",
            "address_2": "SUITE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911246",
            "telephone_number": "330-262-4449",
            "fax_number": "330-262-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E MILLTOWN RD",
            "address_2": "SUITE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911246",
            "telephone_number": "330-262-4449",
            "fax_number": "330-262-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPLER",
        "first_name": "BERNICE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "04218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.