Individual provider Active NPI

Shauna M Sybert, PT

  • Orthopedic Physical Therapist
  • Crestview Hills, KY
National Provider Identifier
1962407122
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT004569 Issued in KY
Practice address
328 Thomas More Pkwy
Crestview Hills, KY 41017-3488
Phone
(513) 347-9999
Fax
(859) 344-4153
NPI assigned
Jun 15, 2005
Last updated
Jan 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT009184 OH
Orthopedic Physical Therapist 2251X0800X PT004569 KY Primary

Addresses

Primary practice location

328 Thomas More Pkwy
Crestview Hills, KY 41017-3488

Mailing address

328 Thomas More Pkwy
Crestview Hills, KY 41017-3488
Phone (513) 347-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050408000862 KY Practitioner - Physical Therapist in Private Practice 3375580657 Reassigns benefits to 2 organizations
I20050413000397 OH Practitioner - Physical Therapist in Private Practice 3375580657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

328 Thomas More Pkwy
Crestview Hills, KY 41017-3488
Phone (513) 347-9999

7575 5 Mile Rd
Cincinnati, OH 45230-4346
Phone (513) 347-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT004569KYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati, LLC CurrentSince Dec 1, 2013 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Dec 1, 2013 Accepting new patients

Locations

3955 Alexandria Pike
Cold Spring, KY 41076
Phone (859) 431-4430

328 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-9700

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

6350 Glenway Ave
Ste 415
Cincinnati, OH 45211
Phone (513) 481-5050

7575 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-4360

7423 S Mason Montgomery Rd
Mason, OH 45040
Phone (513) 229-6000

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

10663 Montgomery Rd
Montgomery, OH 45242
Phone (513) 794-8465

12115 Sheraton Ln
Springdale, OH 45246
Phone (513) 346-7292

Interoperability endpoints

  • Direct secure messaging: ssybert91031@direct.bsmhealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1962407122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173488",
            "telephone_number": "513-347-9999",
            "fax_number": "859-344-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173488",
            "telephone_number": "513-347-9999",
            "fax_number": "859-344-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYBERT",
        "first_name": "SHAUNA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT009184",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KY",
            "license": "PT004569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.