Anatoly Shlobin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015492 Issued in PA

Practice address

10050 Roosevelt Blvd
Philadelphia, PA 19116-3965

Phone

(215) 437-9009

Fax

(215) 437-7769

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT Care LLCGroup PAC ID 9739483025, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• PT Care LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1801279450
  Medicare reassignment Care Compare group NPD Authorized official
• Northeast Medical and Rehabilitation Center, P.C.

  • Clinic/Center
  • Philadelphia, PA
  • NPI 1700070687
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1972530756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163965",
            "telephone_number": "215-437-9009",
            "fax_number": "215-437-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163965",
            "telephone_number": "215-437-9009",
            "fax_number": "215-437-7769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14200 Bustleton Ave",
            "address_2": "STE 4",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191161186",
            "country_code": "US",
            "telephone_number": "215-671-0900",
            "fax_number": "215-671-8114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHLOBIN",
        "first_name": "ANATOLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018831550001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raina Shivashankar, MD
• Matthew Shive, LPC
• Susan Shively, M.D.
• Tariq Shivji, M.D.
• Richard David Shlansky-Goldberg, MD
• Erica L Shmilovich, LPC
• Amber I Shmuckler, MFT
• Shanny Shmuel, PSYD
• Dale Shober, DO
• Nancy Shockley, CRNP

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.