Justin Shelton, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1176108 Issued in TX

Practice address

300 E Sonterra Blvd
Ste# 410
San Antonio, TX 78258-3971

Phone

(210) 403-2098

Fax

(210) 403-2167

NPI assigned

Aug 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1992998827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E SONTERRA BLVD",
            "address_2": "STE# 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583971",
            "telephone_number": "210-403-2098",
            "fax_number": "210-403-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E SONTERRA BLVD",
            "address_2": "STE# 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583971",
            "telephone_number": "210-403-2098",
            "fax_number": "210-403-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "JUSTIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1176108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Girish Suresh Shelke
• Karyn Roper Shelnutt, M.C.D. CCC-SLP
• Grayson Shelton, SLP INTERN
• Hope Marie Shelton, LMSW
• Joanna Lei Shelton, L.AC.
• Leonard Stanley Shelton, D.D.S.
• Mitchell Scott Shelton, PHARM. D.
• Paula Angelica Shelton, M.D.
• Ronnie J Shelton, CCP, LP
• Salina Shelton, LPC-AT/S

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.