Active NPI
Jill Anne Shearn, MPT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1962694760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1676
- Practice address
- 505 E Capovilla Ave
Suite 105
Las Vegas, NV 89119-4340 - Phone
- (702) 260-7329
- Fax
- (702) 896-5638
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- 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 | 1676 | NV | Primary |
Addresses
Primary practice location
505 E Capovilla Ave
Suite 105
Las Vegas, NV 89119-4340
Mailing address
505 E Capovilla Ave
Suite 105
Las Vegas, NV 89119-4340
Phone (702) 260-7329
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1676 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1962694760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E CAPOVILLA AVE",
"address_2": "SUITE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891194340",
"telephone_number": "702-260-7329",
"fax_number": "702-896-5638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E CAPOVILLA AVE",
"address_2": "SUITE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891194340",
"telephone_number": "702-260-7329",
"fax_number": "702-896-5638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARN",
"first_name": "JILL",
"middle_name": "ANNE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.