Thomas Shifflett

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008037 Issued in KY

Practice address

5796 Nashville Rd
Bowling Green, KY 42101-7546

Phone

(270) 745-0987

Fax

(270) 745-0986

NPI assigned

Aug 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Results-Ast JV, LLC

  • Physical Therapist
  • Franklin, TN
  • NPI 1780291948
  Medicare reassignment NPD
• Bluegrass Outpatient Center of Bowling Green, L.L.C.

  dba Bluegrass Outpatient Center

  • Rehabilitation Clinic/Center
  • Bowling Green, KY
  • NPI 1760411342

  Physical Therapist

  NPD (past)
• Commonwealth Health Corporation

  dba SMP Physicians

  • Family Medicine Physician
  • Scottsville, KY
  • NPI 1508899089
  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1982216537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2697",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421027697",
            "telephone_number": "270-745-1100",
            "fax_number": "270-745-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5796 NASHVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421017546",
            "telephone_number": "270-745-0987",
            "fax_number": "270-745-0986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4909 Nolensville Rd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372115411",
            "country_code": "US",
            "telephone_number": "615-333-9828",
            "fax_number": "615-333-1176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Conference Dr Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Goodlettsville",
            "state": "TN",
            "postal_code": "370721925",
            "country_code": "US",
            "telephone_number": "615-988-8001",
            "fax_number": "615-988-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIFFLETT",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-17",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13210",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Shepherd, MA, LPCC
• Maggie Susan Sherrard, DO
• Nirav A Sheth, MD
• James Shields
• Jessica Shifflett
• Shift Pediatric Physical Therapy
• Jessica Shiver
• Tanya Shoaib, M.D.
• Chelsey Shofner, RBT
• Short Pediatric PT, LLC

• Physical Therapist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.