Individual provider Active NPI

Shelbi Ann Kirby

  • Physical Therapy Assistant
  • Newburgh, IN
National Provider Identifier
1952011389
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06005583A Issued in IN
Practice address
4088 Frame Rd
Newburgh, IN 47630-2258
Phone
(812) 853-9567
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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 06005583A IN Primary

Addresses

Primary practice location

4088 Frame Rd
Newburgh, IN 47630-2258

Mailing address

3605 W County Road 300 S
Rockport, IN 47635-8261
Phone (812) 647-4097

Other practice location 1

815 Washington St
Rockport, IN 47635-1252
Phone (812) 649-2276

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
06005583AINMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1952011389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 W COUNTY ROAD 300 S",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476358261",
            "telephone_number": "812-647-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4088 FRAME RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302258",
            "telephone_number": "812-853-9567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Washington St",
            "address_purpose": "LOCATION",
            "city": "Rockport",
            "state": "IN",
            "postal_code": "476351252",
            "country_code": "US",
            "telephone_number": "812-649-2276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "SHELBI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06005583A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.