Individual provider Active NPI

Shayla Michelle Routh, PTA

  • Physical Therapy Assistant
  • Arcadia, FL
National Provider Identifier
1992388094
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
29599 Issued in FL
Practice address
1311 E Oak St
Arcadia, FL 34266-8902
Phone
(863) 491-7055
Fax
(863) 491-7056
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 29599 FL Primary

Addresses

Primary practice location

1311 E Oak St
Arcadia, FL 34266-8902

Mailing address

6114 56TH Ter E
Bradenton, FL 34203-9752
Phone (630) 200-4351

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

LicenseStateTypeSpecialty
29599FLMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1992388094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 56TH TER E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039752",
            "telephone_number": "630-200-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E OAK ST",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668902",
            "telephone_number": "863-491-7055",
            "fax_number": "863-491-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUTH",
        "first_name": "SHAYLA",
        "middle_name": "MICHELLE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "29599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.