Shelly S West, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Palm Harbor, FL
NPI 1992914048 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992914048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 17201 (FL)
- Practice address
- 3774 Wellington Pkwy
Palm Harbor, FL 34685 - Phone
- (727) 772-7444
- Fax
- (727) 785-7329
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Active Living Rehabilitation Inc
Practice addresses (Care Compare)
Trinity, FL 34655
Phone (727) 215-0672
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090504000379 | FL | Practitioner - Physical Therapist in Private Practice | 9537066980 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 17201 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Living Rehabilitation Inc | Physical Therapist | Current |
Accepting new patients |
Locations
750 Starkey Rd
Largo, FL 33771
Phone (727) 376-4012
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 17201 | FL | Yes |
Addresses
Primary practice location
3774 Wellington Pkwy
Palm Harbor, FL 34685
Mailing address
3774 Wellington Pkwy
Palm Harbor, FL 34685
Phone (727) 772-7444
Other names
- Shelly S Prechtl
Other providers in Palm Harbor, FL
- Zachary S Wells
- West Coast Endodontics
- West Coast Medical Group Inc
- West Florida Cardiovascular Center Inc
- West Florida Urology PLC
- Westchase Physical Therapy and Medical Supply LLC
- Westcoast Brace & Limb
- Julie Wetherill
- White House #2
- Patricia White
All providers in Palm Harbor, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.