TIMOTHY JAMES SHUTES SR. (NPI# 1396383154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396383154 |
| Entity Type | Individual |
| Full Name | TIMOTHY JAMES SHUTES SR. |
| Credential | PT |
| Practice Address |
901 45th St Mangonia Park FL 33407-2413 |
| Mailing Address |
10393 Se Coconut Ln Hobe Sound FL 33455-4215 |
| Practice Telephone | 5618447878 |
| Mailing Telephone | 5618272863 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT3592 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
901 45TH ST |
| City | MANGONIA PARK |
| State | FL |
| Zip Code | 33407-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242448 | Victoria Anna Zukowski | Physical Therapist | 901 45th St, Mangonia Park, FL 33407-2413 | 2020-07-13 |
| 1700402195 | Charity Denson | Nurse Practitioner | 901 45th St, Mangonia Park, FL 33407-2413 | 2020-06-22 |
| 1629692744 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 901 45th St, Mangonia Park, FL 33407-2413 | 2020-06-04 |
| 1649801101 | Brittany Keatts | Registered Nurse | 901 45th St, Mangonia Park, FL 33407-2413 | 2020-02-03 |
| 1629619978 | Andreas John Bertolis | Registered Nurse | 901 45th St, Mangonia Park, FL 33407-2413 | 2019-10-07 |
| 1730735697 | Morgan Ashley Phillips | Nurse Anesthetist, Certified Registered | 901 45th St, Mangonia Park, FL 33407-2413 | 2019-08-15 |
| 1821659111 | Shannon Koziel | Physical Therapy Assistant | 901 45th St, Mangonia Park, FL 33407-2413 | 2019-06-26 |
| 1891350047 | Michelle Ann Marie Aquino Rapanut | Spec/Tech, Pathology | 901 45th St, Mangonia Park, FL 33407-2413 | 2019-05-03 |
| 1912467598 | Nicole Louis | Physician Assistant | 901 45th St, Mangonia Park, FL 33407-2413 | 2019-03-21 |
| 1154894970 | Lindsay R Silva | Nurse Practitioner | 901 45th St, Mangonia Park, FL 33407-2413 | 2019-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252924 | Tenet Florida Physician Services II, LLC | Durable Medical Equipment & Medical Supplies | 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 | 2020-07-09 |
| 1083248520 | Robin Erickson, Ph.d., Inc. | Clinic/Center | 2151 45th St.# 200, West Palm Beach, FL 33407 | 2020-02-24 |
| 1487203428 | Donmar Health Services, LLC | Home Health | 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 | 2019-09-11 |
| 1962064071 | Sofia Thomas | Nurse Practitioner | 927 45th St Ste 102, Mangonia Park, FL 33407 | 2019-06-28 |
| 1093294803 | Physical Therapy Now of Mangonia Park | Clinic/Center | 1748 45th St, West Palm Beach, FL 33407 | 2018-08-13 |
| 1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
| 1942786637 | Frantz Lamour | Counselor | 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 | 2018-07-16 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
| 1225530140 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5851 Corporate Way, West Palm Beach, FL 33407 | 2018-03-07 |
| Find all providers in zip 33407 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422064 | Purpose Physical Therapy and Wellness, LLC | Physical Therapist | 3369 10th St N, St Petersburg, FL 33704-1205 | 2020-09-16 |
| 1114532074 | Rezalo Health & Performance | Physical Therapist | 27402 Bonterra Loop Apt 401, Wesley Chapel, FL 33544-5165 | 2020-09-08 |
| 1578173217 | Katherine Herzfeld | Physical Therapist | 2954 Mallory Cir Ste 110, Celebration, FL 34747-1820 | 2020-08-07 |
| 1447875331 | Janelle Marie Fleites | Physical Therapist | 6190 Sw 116th St, Pinecrest, FL 33156-4957 | 2020-06-16 |
| 1154944155 | University of Central Florida | Physical Therapist | 4098 Libra Dr Ste 114, Orlando, FL 32816-8026 | 2020-05-26 |
| 1164044590 | Prestige Health & Performance | Physical Therapist | 20354 Chestnut Grove Dr, Tampa, FL 33647-3344 | 2020-05-07 |
| 1295356491 | Complex Somi LLC | Physical Therapist | 5829 Sw 73rd St Ste 2, South Miami, FL 33143-5276 | 2020-04-29 |
| 1952939043 | Fix It Physical Therapy, LLC | Physical Therapist | 8262 Griffin Rd, Davie, FL 33328-3715 | 2020-04-01 |
| 1649806449 | Korbin Joseph Keene | Physical Therapist | 1053 Medical Center Dr Ste 151, Orange City, FL 32763-8261 | 2020-03-13 |
| 1740814391 | Jessy Chang | Physical Therapist | 8615 S Tamiami Trl # 1, Sarasota, FL 34238-3052 | 2020-02-22 |
| Find all providers with the same taxonomy | ||||
| City | MANGONIA PARK |
| Zip Code | 33407 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.