Active NPI
Bob Shinabarger, PT
- Physical Therapist
- Sturgis, SD
National Provider Identifier
1992905012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1212
- Practice address
- 949 Harmon St
Sturgis, SD 57785-2452 - Phone
- (605) 720-2400
- NPI assigned
- Jul 18, 2007
- Sex
- Male
- 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 | 1212 | SD | Primary |
Addresses
Primary practice location
949 Harmon St
Sturgis, SD 57785-2452
Mailing address
PO Box 3450
Rapid City, SD 57709-3450
Phone (605) 720-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1212 | Other | SD | SD LICENSE |
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 |
|---|---|---|---|
| 1212 | SD | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1992905012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3450",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577093450",
"telephone_number": "605-720-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 HARMON ST",
"city": "STURGIS",
"state": "SD",
"postal_code": "577852452",
"telephone_number": "605-720-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINABARGER",
"first_name": "BOB",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-18",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SD LICENSE",
"identifier": "1212",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sturgis, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.