Individual provider Active NPI

Nancy Shipe, MS, PT, OCS

  • Physical Therapist
  • Lower Burrell, PA
National Provider Identifier
1982691200
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004114L Issued in PA
Practice address
2757 Leechburg Rd
Lower Burrell, PA 15068-3138
Phone
(724) 337-6522
Fax
(724) 337-0630
NPI assigned
Oct 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT004114L PA Primary

Addresses

Primary practice location

2757 Leechburg Rd
Lower Burrell, PA 15068-3138

Mailing address

169 Foreman Rd
Freeport, PA 16229-1708
Phone (724) 295-3249

Other identifiers 3

IdentifierTypeStateIssuer
000456129OtherPAHIGHMARK BC/BS
100900639001MedicaidPA
157227OtherPATHREE RIVERS HEALTH PLAN

Other names 1

  • Nancy Kulikowski Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT004114LPAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1982691200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 FOREMAN RD",
            "city": "FREEPORT",
            "state": "PA",
            "postal_code": "162291708",
            "telephone_number": "724-295-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 LEECHBURG RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150683138",
            "telephone_number": "724-337-6522",
            "fax_number": "724-337-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPE",
        "first_name": "NANCY",
        "credential": "MS, PT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT004114L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "000456129",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100900639001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS HEALTH PLAN",
            "identifier": "157227",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "KULIKOWSKI",
            "credential": "MS, PT, OCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lower Burrell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.